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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.

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Related in: MedlinePlus

Balloon occlusion test of the patent ductus venosus. (A and B) Frontal and (C and D) lateral views showing the balloon catheterization to occlude the lumen of the patent ductus venosus. (A) and (C) demonstrate the balloon inflation (solid white arrows). The balloon was then deflated to depict flow of the ductus venosus directly into the inferior vena cava (B) and (D). No aberrant drainage/supply to or from the portal or hepatic veins was demonstrated during occlusion. Patency of the hepatic and portal veins was ensured during the balloon occlusion (not shown)
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Figure 4: Balloon occlusion test of the patent ductus venosus. (A and B) Frontal and (C and D) lateral views showing the balloon catheterization to occlude the lumen of the patent ductus venosus. (A) and (C) demonstrate the balloon inflation (solid white arrows). The balloon was then deflated to depict flow of the ductus venosus directly into the inferior vena cava (B) and (D). No aberrant drainage/supply to or from the portal or hepatic veins was demonstrated during occlusion. Patency of the hepatic and portal veins was ensured during the balloon occlusion (not shown)

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
Balloon occlusion test of the patent ductus venosus. (A and B) Frontal and (C and D) lateral views showing the balloon catheterization to occlude the lumen of the patent ductus venosus. (A) and (C) demonstrate the balloon inflation (solid white arrows). The balloon was then deflated to depict flow of the ductus venosus directly into the inferior vena cava (B) and (D). No aberrant drainage/supply to or from the portal or hepatic veins was demonstrated during occlusion. Patency of the hepatic and portal veins was ensured during the balloon occlusion (not shown)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Balloon occlusion test of the patent ductus venosus. (A and B) Frontal and (C and D) lateral views showing the balloon catheterization to occlude the lumen of the patent ductus venosus. (A) and (C) demonstrate the balloon inflation (solid white arrows). The balloon was then deflated to depict flow of the ductus venosus directly into the inferior vena cava (B) and (D). No aberrant drainage/supply to or from the portal or hepatic veins was demonstrated during occlusion. Patency of the hepatic and portal veins was ensured during the balloon occlusion (not shown)
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