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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Live broadcast of transcatheter PDA closure in a 700 grams ELBW infant during the International PDA Symposium

Shyam Sathanandam1, Ashley Gianinni1, Eric Sefton1

  • 1University of Tennessee Health Science Center, LeBonheur Children's Hospital, Memphis, Tennessee.

Congenital Heart Disease
|February 28, 2019
PubMed

Insights

Transcatheter closure of a patent ductus arteriosus (PDA) was successfully performed in an extremely low birth weight infant. Live case transmission demonstrated the feasibility and safety of this minimally invasive technique for neonates.

Area of Science:

  • Neonatal cardiology
  • Interventional cardiology
  • Minimally invasive procedures

Background:

  • Patent ductus arteriosus (PDA) is a common condition in extremely low birth weight (ELBW) infants, often requiring intervention.
  • Transcatheter closure of PDA (TCPC) offers a minimally invasive alternative to surgical management.
  • Live case transmissions are valuable educational tools in medical symposia.

Observation:

  • A 14-day-old, 24-week premature ELBW infant (700g) with pulmonary hemorrhage requiring mechanical ventilation underwent TCPC.
  • The procedure was performed live during the International PDA Symposium, involving a multidisciplinary team and two-way audiovisual communication.
  • TCPC was successfully completed without procedural complications using a specialized technique.

Findings:

  • The ELBW infant was weaned off ventilation within 7 days and discharged at 35 weeks' corrected gestation, weighing 2.2 kg, on full oral feeds and without supplemental oxygen.
  • The successful TCPC contributed to an uneventful hospital course for the infant.
  • The live transmission successfully highlighted the technical aspects and nuances of performing TCPC in ELBW infants.

Implications:

  • This case demonstrates the feasibility and safety of transcatheter PDA closure in extremely low birth weight infants.
  • Live case demonstrations are effective for teaching complex interventional techniques and improving learning experiences for medical professionals.
  • The successful outcome underscores the potential of minimally invasive cardiology in improving outcomes for critically ill neonates.
Abstract

Keywords:
ELBWPDATCPClive case

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