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Updated: Jan 15, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
[Percutaneous closure of congenital heart defects in children with chronic kidney disease]
Mariela Matamoros-Hernández1, José L Colin-Ortiz1, M Carmen Cruz-Angulo2
1Departamento de Cardiología Pediátrica, Instituto Nacional de Pediatría, Ciudad de México, México.
Insights
Interventional cardiac catheterization offers a safe and effective treatment for pediatric patients with congenital heart disease and chronic kidney disease. This less invasive approach improves outcomes in this high-risk population.
Area of Science:
- Pediatric Cardiology
- Nephrology
Background:
- Congenital heart disease (CHD) in pediatric patients often co-occurs with chronic kidney disease (CKD), increasing morbidity and mortality.
- Interventional cardiac catheterization is a less invasive alternative to surgery for simple CHD, particularly valuable in patients with renal compromise.
Purpose of the Study:
- To evaluate the efficacy and safety of interventional cardiac catheterization for treating pediatric patients with coexisting CKD and CHD.
Main Methods:
- Retrospective and descriptive study design.
- Analysis of three pediatric cases undergoing percutaneous closure for CHD in the presence of advanced CKD.
Main Results:
- Successful percutaneous closure of CHD was achieved in all three pediatric patients with CKD.
- Demonstrated the viability of the interventional approach in this complex patient group.
Conclusions:
- Cardiac catheterization is an effective and safe therapeutic option for high-risk pediatric patients with advanced CKD and CHD.
- Highlights the benefits of minimally invasive procedures in managing complex cardiac conditions in renally compromised children.
Objective:
The chronic kidney disease (CKD) in pediatric patients is a serious condition that sometimes is associated with congenital heart disease (CHD), this significantly increasing morbidity and mortality rates. The use of interventional cardiac catheterization has emerged in the last three decades as a less invasive alternative to surgical correction of many simple CHD, and it can be useful and viable option for patients with compromised renal function.
Method:
Retrospective and descriptive study.
Results:
We present the cases of three patients in pediatric age with CKD and CHD, whom successfully were underwent percutaneous closure.
Conclusions:
It is highlighting the efficacy and safety of cardiac catheterization in this high-risk group patients with CKD in advanced stages.
Related Concept Videos
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Chronic Kidney Disease III: Interprofessional Care
Cardiac Catheterization I: Pre-Procedure Overview
Hemodialysis II: Procedure and Complications
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
Acute Kidney Injury IV: Diagnostic Studies and Prevention

