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Patent ductus venosus presenting with cholestatic jaundice in an infant with successful trans-catheter closure using a vascular plug device

View Article: PubMed Central - PubMed

ABSTRACT

Persistent ductus venosus as a cause of cholestatic jaundice is very rare. Treatment varies, but is usually reserved for infants in whom complications develop. We report a 5-week-old female infant with cholestatic jaundice caused by a patent ductus venosus and subsequent successful treatment via a transcatheter occlusion using a vascular plug device.

No MeSH data available.


Related in: MedlinePlus

Vascular catheterization of the ductus venosus for delineation of anatomy in the frontal and lateral views. (A and B) Frontal and lateral views of the right hepatic vein and its communication with the patent ductus venosus (solid arrow) (C and D) Frontal and lateral views with the catheter tip within the distal aspect of the patent ductus. The dashed white arrow depicts the drainage of the patent ductus venosus into the right atrium via the inferior vena cava
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Figure 3: Vascular catheterization of the ductus venosus for delineation of anatomy in the frontal and lateral views. (A and B) Frontal and lateral views of the right hepatic vein and its communication with the patent ductus venosus (solid arrow) (C and D) Frontal and lateral views with the catheter tip within the distal aspect of the patent ductus. The dashed white arrow depicts the drainage of the patent ductus venosus into the right atrium via the inferior vena cava

Mentions: The initial angiographic run confirmed the presence of the patent ductus venosus [Figure 3], a normal inferior vena cava, as well as normal portal vein (not shown) and hepatic veins. Balloon occlusion (TransFormâ„¢ Occlusion Balloon Catheter; Stryker, Kalamazoo, MI, USA) was performed to test whether closure of the patent ductus would affect portal venous pressures or hepatic venous flow to the liver parenchyma and drainage into the inferior vena cava [Figure 4]. The balloon occlusion catheter was placed into the patent ductus venosus and carefully inflated to occlude the ductus venosus. Occlusion was performed for approximately 5 s. Thereafter, a second angiographic run was performed to assess the flow within the ductus as well as within the portal and hepatic veins. The occlusion test successfully demonstrated adequate closure of the patent ductus venosus and subsequent patency and normalcy of the hepatic venous flow.


Patent ductus venosus presenting with cholestatic jaundice in an infant with successful trans-catheter closure using a vascular plug device
Vascular catheterization of the ductus venosus for delineation of anatomy in the frontal and lateral views. (A and B) Frontal and lateral views of the right hepatic vein and its communication with the patent ductus venosus (solid arrow) (C and D) Frontal and lateral views with the catheter tip within the distal aspect of the patent ductus. The dashed white arrow depicts the drainage of the patent ductus venosus into the right atrium via the inferior vena cava
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036338&req=5

Figure 3: Vascular catheterization of the ductus venosus for delineation of anatomy in the frontal and lateral views. (A and B) Frontal and lateral views of the right hepatic vein and its communication with the patent ductus venosus (solid arrow) (C and D) Frontal and lateral views with the catheter tip within the distal aspect of the patent ductus. The dashed white arrow depicts the drainage of the patent ductus venosus into the right atrium via the inferior vena cava
Mentions: The initial angiographic run confirmed the presence of the patent ductus venosus [Figure 3], a normal inferior vena cava, as well as normal portal vein (not shown) and hepatic veins. Balloon occlusion (TransFormâ„¢ Occlusion Balloon Catheter; Stryker, Kalamazoo, MI, USA) was performed to test whether closure of the patent ductus would affect portal venous pressures or hepatic venous flow to the liver parenchyma and drainage into the inferior vena cava [Figure 4]. The balloon occlusion catheter was placed into the patent ductus venosus and carefully inflated to occlude the ductus venosus. Occlusion was performed for approximately 5 s. Thereafter, a second angiographic run was performed to assess the flow within the ductus as well as within the portal and hepatic veins. The occlusion test successfully demonstrated adequate closure of the patent ductus venosus and subsequent patency and normalcy of the hepatic venous flow.

View Article: PubMed Central - PubMed

ABSTRACT

Persistent ductus venosus as a cause of cholestatic jaundice is very rare. Treatment varies, but is usually reserved for infants in whom complications develop. We report a 5-week-old female infant with cholestatic jaundice caused by a patent ductus venosus and subsequent successful treatment via a transcatheter occlusion using a vascular plug device.

No MeSH data available.


Related in: MedlinePlus