DUCTAL STENTING IN PULMONARY ATRESIA NEONATES WITH MULTIPLE CONGENITAL ANOMALIES AND SEPTIC CONDITION

Written by Laurentia Utari Wibisono, Eka Gunawijaya, Bagus Ari Pradnyana
on November 09, 2021

Authors:

Laurentia Utari Wibisono, Eka Gunawijaya, Bagus Ari Pradnyana

Abstract:

“Neonates with pulmonary atresia usually appear normal at birth with pulmonary circulationmaintained by the presence of a patent ductus arteriosus (PDA). Rapid deterioration will suddenlyocccur if the duct close. Surgical shunt is still be used as a standard protocol in many centers as apalliative procedure. We report a 2 days-old, low birth weight, and mild cyanotic neonate with pulmonaryatresia and PDA accompanied by atresia ani, bladder and cloaca extropy, ambiguous genitalia andsepsis. We decided to perform PDA stenting because our patient have a high surgical shunt risk. Thisprocedure was very important to keep the duct remains open until patient ready for total surgicalcorrection. [MEDICINA 2015;46:42-45].Neonatus dengan atresia pulmonal biasanya tampak normal saat lahir dengan adanya patent ductusarteriosus (PDA) yang memelihara aliran darah paru. Kondisi neonatus akan segera memburuk jikaduktus menutup. Pembuatan shunt dengan pembedahan merupakan protokol standar yang masihdikerjakan di banyak pusat kesehatan. Kami melaporkan neonatus berusia 2 hari dengan berat badanlahir rendah dan sianosis ringan dengan diagnosis atresia pulmonal, PDA, atresia ani, ekstropi buli-buli dan kloaka, jenis kelamin ambigu, dan sepsis. Kami memutuskan untuk melakukan pemasanganstent pada PDA karena pasien kami memiliki risiko yang tinggi untuk pembedahan (pembuatan shunt).Tindakan ini sangat penting untuk menjaga duktus tetap terbuka sampai pasien siap untuk dilakukanoperasi koreksi. [MEDICINA 2015;46:42-45].”

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PDF:

https://jurnal.harianregional.com/medicina/full-15979

Published

2021-11-09

How To Cite

WIBISONO, Laurentia Utari; GUNAWIJAYA, Eka; PRADNYANA, Bagus Ari. DUCTAL STENTING IN PULMONARY ATRESIA NEONATES WITH MULTIPLE CONGENITAL ANOMALIES AND SEPTIC CONDITION.Medicina, [S.l.], v. 46, n. 1, oct. 2015. ISSN 2540-8321. Available at: https://jurnal.harianregional.com/medicina/id-15979. Date accessed: 02 Jun. 2025.

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Issue

Vol 46 No 1 (2015): Januari 2015

Section

Articles

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License