Neonatal ductus arteriosus aneurysm causing nerve palsies and airway compression: surgical treatment by decompression without excision
A 4-kg male child, born at 34 weeks to a gestational diabetic mother, had a large ductus arteriosus aneurysm causing phrenic and recurrent laryngeal nerve palsies and large airway compression. The right and left atrial appendages and distal descending aorta were cannulated, allowing left heart parti...
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| Veröffentlicht in: | Pediatric cardiology 1999-03, Vol.20 (2), p.158-160 |
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| creator | Hornung, T S Nicholson, I A Nunn, G R Hawker, R E |
| description | A 4-kg male child, born at 34 weeks to a gestational diabetic mother, had a large ductus arteriosus aneurysm causing phrenic and recurrent laryngeal nerve palsies and large airway compression. The right and left atrial appendages and distal descending aorta were cannulated, allowing left heart partial or complete cardiopulmonary bypass as necessary. On bypass the ductus was ligated, decompressed, and oversewn but not excised. Examination 1 month later suggested resolution of the recurrent laryngeal palsy and echocardiography showed regression of the aneurysm. Ductus ligation and decompression was an effective surgical treatment, which is less likely to cause complications than resection. |
| doi_str_mv | 10.1007/s002469900428 |
| format | Article |
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The right and left atrial appendages and distal descending aorta were cannulated, allowing left heart partial or complete cardiopulmonary bypass as necessary. On bypass the ductus was ligated, decompressed, and oversewn but not excised. Examination 1 month later suggested resolution of the recurrent laryngeal palsy and echocardiography showed regression of the aneurysm. Ductus ligation and decompression was an effective surgical treatment, which is less likely to cause complications than resection.</description><identifier>ISSN: 0172-0643</identifier><identifier>EISSN: 1432-1971</identifier><identifier>DOI: 10.1007/s002469900428</identifier><identifier>PMID: 9986898</identifier><language>eng</language><publisher>United States</publisher><subject>Airway Obstruction - congenital ; Airway Obstruction - diagnosis ; Airway Obstruction - surgery ; Aneurysm - congenital ; Aneurysm - diagnosis ; Decompression, Surgical ; Diagnosis, Differential ; Ductus Arteriosus - abnormalities ; Ductus Arteriosus - surgery ; Female ; Humans ; Infant, Newborn ; Male ; Nerve Compression Syndromes - congenital ; Nerve Compression Syndromes - diagnosis ; Nerve Compression Syndromes - surgery ; Phrenic Nerve ; Pregnancy ; Recurrent Laryngeal Nerve ; Vocal Cord Paralysis - congenital ; Vocal Cord Paralysis - diagnosis ; Vocal Cord Paralysis - surgery</subject><ispartof>Pediatric cardiology, 1999-03, Vol.20 (2), p.158-160</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c288t-3d0350033d4830d94e15afcd617b27373f67468ae1749709e63c9806aa7d332c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9986898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hornung, T S</creatorcontrib><creatorcontrib>Nicholson, I A</creatorcontrib><creatorcontrib>Nunn, G R</creatorcontrib><creatorcontrib>Hawker, R E</creatorcontrib><title>Neonatal ductus arteriosus aneurysm causing nerve palsies and airway compression: surgical treatment by decompression without excision</title><title>Pediatric cardiology</title><addtitle>Pediatr Cardiol</addtitle><description>A 4-kg male child, born at 34 weeks to a gestational diabetic mother, had a large ductus arteriosus aneurysm causing phrenic and recurrent laryngeal nerve palsies and large airway compression. The right and left atrial appendages and distal descending aorta were cannulated, allowing left heart partial or complete cardiopulmonary bypass as necessary. On bypass the ductus was ligated, decompressed, and oversewn but not excised. Examination 1 month later suggested resolution of the recurrent laryngeal palsy and echocardiography showed regression of the aneurysm. Ductus ligation and decompression was an effective surgical treatment, which is less likely to cause complications than resection.</description><subject>Airway Obstruction - congenital</subject><subject>Airway Obstruction - diagnosis</subject><subject>Airway Obstruction - surgery</subject><subject>Aneurysm - congenital</subject><subject>Aneurysm - diagnosis</subject><subject>Decompression, Surgical</subject><subject>Diagnosis, Differential</subject><subject>Ductus Arteriosus - abnormalities</subject><subject>Ductus Arteriosus - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Nerve Compression Syndromes - congenital</subject><subject>Nerve Compression Syndromes - diagnosis</subject><subject>Nerve Compression Syndromes - surgery</subject><subject>Phrenic Nerve</subject><subject>Pregnancy</subject><subject>Recurrent Laryngeal Nerve</subject><subject>Vocal Cord Paralysis - congenital</subject><subject>Vocal Cord Paralysis - diagnosis</subject><subject>Vocal Cord Paralysis - surgery</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1LAzEQhoMotVaPHoWcvK1ONtt8eJPiF4he9LykybRGurs1H9b-AX-3W1pETzPM-_DAvIScMrhgAPIyApSV0BqgKtUeGbKKlwXTku2TITBZFiAqfkiOYnwHAAVqPCADrZVQWg3J9xN2rUlmQV22KUdqQsLgu7hZW8xhHRtqTY6-ndMWwyfSpVlEj5vYUePDyqyp7ZplwBh9117RmMPc296YAprUYJvodE0d_oHoyqe3LieKX9ZvDsfkYNZr8WQ3R-T19uZlcl88Pt89TK4fC1sqlQrugI8BOHeV4uB0hWxsZtYJJqel5JLPhKyEMshkpSVoFNxqBcIY6TgvLR-R8613GbqPjDHVjY8WF4v-1y7HWuhxr1GsB4staEMXY8BZvQy-MWFdM6g3vdf_eu_5s504Txt0v_SuaP4DmiyAvw</recordid><startdate>19990301</startdate><enddate>19990301</enddate><creator>Hornung, T S</creator><creator>Nicholson, I A</creator><creator>Nunn, G R</creator><creator>Hawker, R E</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990301</creationdate><title>Neonatal ductus arteriosus aneurysm causing nerve palsies and airway compression: surgical treatment by decompression without excision</title><author>Hornung, T S ; Nicholson, I A ; Nunn, G R ; Hawker, R E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c288t-3d0350033d4830d94e15afcd617b27373f67468ae1749709e63c9806aa7d332c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Airway Obstruction - congenital</topic><topic>Airway Obstruction - diagnosis</topic><topic>Airway Obstruction - surgery</topic><topic>Aneurysm - congenital</topic><topic>Aneurysm - diagnosis</topic><topic>Decompression, Surgical</topic><topic>Diagnosis, Differential</topic><topic>Ductus Arteriosus - abnormalities</topic><topic>Ductus Arteriosus - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Nerve Compression Syndromes - congenital</topic><topic>Nerve Compression Syndromes - diagnosis</topic><topic>Nerve Compression Syndromes - surgery</topic><topic>Phrenic Nerve</topic><topic>Pregnancy</topic><topic>Recurrent Laryngeal Nerve</topic><topic>Vocal Cord Paralysis - congenital</topic><topic>Vocal Cord Paralysis - diagnosis</topic><topic>Vocal Cord Paralysis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hornung, T S</creatorcontrib><creatorcontrib>Nicholson, I A</creatorcontrib><creatorcontrib>Nunn, G R</creatorcontrib><creatorcontrib>Hawker, R E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hornung, T S</au><au>Nicholson, I A</au><au>Nunn, G R</au><au>Hawker, R E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neonatal ductus arteriosus aneurysm causing nerve palsies and airway compression: surgical treatment by decompression without excision</atitle><jtitle>Pediatric cardiology</jtitle><addtitle>Pediatr Cardiol</addtitle><date>1999-03-01</date><risdate>1999</risdate><volume>20</volume><issue>2</issue><spage>158</spage><epage>160</epage><pages>158-160</pages><issn>0172-0643</issn><eissn>1432-1971</eissn><abstract>A 4-kg male child, born at 34 weeks to a gestational diabetic mother, had a large ductus arteriosus aneurysm causing phrenic and recurrent laryngeal nerve palsies and large airway compression. The right and left atrial appendages and distal descending aorta were cannulated, allowing left heart partial or complete cardiopulmonary bypass as necessary. On bypass the ductus was ligated, decompressed, and oversewn but not excised. Examination 1 month later suggested resolution of the recurrent laryngeal palsy and echocardiography showed regression of the aneurysm. Ductus ligation and decompression was an effective surgical treatment, which is less likely to cause complications than resection.</abstract><cop>United States</cop><pmid>9986898</pmid><doi>10.1007/s002469900428</doi><tpages>3</tpages></addata></record> |
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| ispartof | Pediatric cardiology, 1999-03, Vol.20 (2), p.158-160 |
| issn | 0172-0643 1432-1971 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Airway Obstruction - congenital Airway Obstruction - diagnosis Airway Obstruction - surgery Aneurysm - congenital Aneurysm - diagnosis Decompression, Surgical Diagnosis, Differential Ductus Arteriosus - abnormalities Ductus Arteriosus - surgery Female Humans Infant, Newborn Male Nerve Compression Syndromes - congenital Nerve Compression Syndromes - diagnosis Nerve Compression Syndromes - surgery Phrenic Nerve Pregnancy Recurrent Laryngeal Nerve Vocal Cord Paralysis - congenital Vocal Cord Paralysis - diagnosis Vocal Cord Paralysis - surgery |
| title | Neonatal ductus arteriosus aneurysm causing nerve palsies and airway compression: surgical treatment by decompression without excision |
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