Compression of the left mainstem bronchus by patent ductus arteriosus in neonates under consideration for ductal stenting.

TitleCompression of the left mainstem bronchus by patent ductus arteriosus in neonates under consideration for ductal stenting.
Publication TypeJournal Article
Year of Publication2020
AuthorsSmith CL, Saul D, Goldfarb SB, Biko DM, O'Byrne ML
JournalCatheter Cardiovasc Interv
Date Published2020 Jan 20
ISSN1522-726X
Abstract

Stent angioplasty of patent ductus arteriosus has been shown to be a viable alternative to operative shunt placement in cyanotic neonates. With broader implementation of this strategy, novel complications are bound to arise. We present a series of cases evaluated for ductal stent angioplasty in which a dilated and torturous ductus arteriosus compressed the left mainstem bronchus. After reviewing our recent experience with ductal stenting and isolated Blalock-Taussig shunts, our best estimate of the incidence of bronchial compression by the dilated ductus is 4.6% (3/64, 95% confidence interval 1.0-12.9%). Awareness of the airway and other nonvascular contents of the thorax is an important consideration prior to ductal stenting.

DOI10.1002/ccd.28735
Alternate JournalCatheter Cardiovasc Interv
PubMed ID31957932
Grant ListHL130420-01 / HL / NHLBI NIH HHS / United States