Atrial septal defect stent compression during resuscitation of an infant with hypoplastic left heart syndrome

Authors

Chawki Elzein, Advocate Health - Midwest
Emily Pena, Advocate Health - MidwestFollow
Narutoshi Hibino, Advocate Health - MidwestFollow
Dhaval Patel, Advocate Health - MidwestFollow
Luca Vricella, Advocate Health - MidwestFollow

Recommended Citation

Elzein C, Pena E, Hibino N, Patel D, Vricella L. Atrial Septal Defect Stent Compression During Resuscitation of an Infant With Hypoplastic Left Heart Syndrome. World J Pediatr Congenit Heart Surg. Published online July 23, 2024. doi:10.1177/21501351241255662

Affiliations

Advocate Children's Hospital, Oak Lawn

Abstract

A newborn with hypoplastic left heart syndrome underwent a Norwood procedure with a Sano shunt. A month later, he had an atrial septal defect (ASD) stent placed due to ASD size and flow restriction. Three weeks later, he had sudden bradycardia and cardiac arrest in the intensive care unit. He was resuscitated and cannulated for extracorporeal membrane oxygenation (ECMO) through a right neck approach. An attempt to wean him from ECMO a week later failed due to hypoxia. Echocardiography showed ASD flow restriction and a chest x-ray showed flattening of the left atrial side of the ASD stent from chest compression resulting in a restrictive ASD. The patient underwent surgical removal of the ASD stent with ASD enlargement and was successfully weaned from ECMO after surgery.

Type

Article

PubMed ID

39042938