Critical Ebstein's anomaly with circular shunt: from successful fetal therapy with non-steroidal anti-inflammatory drugs to biventricular repair using Da Silva cone technique

We report an innovative treatment strategy for fetal Ebstein's anomaly with a circular shunt. We used transplacental non-steroidal anti-inflammatory drugs, at the 29th gestational week, to constrict the ductus arteriosus avoiding fetal demise. We addressed the critical neonate with an urgent St...

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Veröffentlicht in:Cardiology in the young 2021-06, Vol.31 (6), p.1-1042
Hauptverfasser: Lopes, Lilian M, Bezerra, Rodrigo F, daSilva, Jose Pedro, da Fonseca da Silva, Luciana
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container_end_page 1042
container_issue 6
container_start_page 1
container_title Cardiology in the young
container_volume 31
creator Lopes, Lilian M
Bezerra, Rodrigo F
daSilva, Jose Pedro
da Fonseca da Silva, Luciana
description We report an innovative treatment strategy for fetal Ebstein's anomaly with a circular shunt. We used transplacental non-steroidal anti-inflammatory drugs, at the 29th gestational week, to constrict the ductus arteriosus avoiding fetal demise. We addressed the critical neonate with an urgent Starnes procedure. Finally, instead of following the usual single-ventricle palliation pathway after the Starnes procedure, we achieved successful two-ventricle repair with the cone technique at 5 month old.
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source Cambridge University Press Journals Complete
subjects Anti-inflammatory agents
Ascites
Coronary vessels
Drug dosages
Ejection fraction
Fetuses
Inflammation
Mortality
Nonsteroidal anti-inflammatory drugs
Oxygen saturation
Palliation
Pleural effusion
Pulmonary arteries
Repair
Ultrasonic imaging
Veins & arteries
Ventricle
title Critical Ebstein's anomaly with circular shunt: from successful fetal therapy with non-steroidal anti-inflammatory drugs to biventricular repair using Da Silva cone technique
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