Ductus arteriosus rupture as a balloon catheter atrioseptostomy complication

A newborn with transposition of the great arteries presented with rupture of the ductus arteriosus after balloon catheter atrioseptostomy. The necropsy study demonstrated persistent ductus patency, and a 0.5-cm-long horizontal fissure could be observed. On microscopy, there was laceration of the int...

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Bibliographic Details
Published in:	Catheterization and cardiovascular diagnosis Vol. 34; no. 1; p. 48
Main Authors:	Caixeta, A M, Kajita, L J, Rati, M, Assis, R V, Aiello, V, Snitcowsky, R, Perin, M A, Veloso, W U, Ariê, S
Format:	Journal Article
Language:	English
Published:	United States 01-01-1995
Subjects:	Alprostadil - therapeutic use Aortic Rupture - etiology Catheterization - adverse effects Catheterization - instrumentation Ductus Arteriosus Fatal Outcome Humans Infant, Newborn Male Radiography Transposition of Great Vessels - diagnostic imaging Transposition of Great Vessels - pathology Transposition of Great Vessels - therapy
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Summary:	A newborn with transposition of the great arteries presented with rupture of the ductus arteriosus after balloon catheter atrioseptostomy. The necropsy study demonstrated persistent ductus patency, and a 0.5-cm-long horizontal fissure could be observed. On microscopy, there was laceration of the intimal layer, with wall dissection and focal hemorrhage extending to the adventitia. Ductus rupture was attributed to the wall weakness, as a consequence of prostaglandin E1 administration.
ISSN:	0098-6569
DOI:	10.1002/ccd.1810340313