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Lookup NU author(s): Dr Malcolm Brodlie
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The management of neonates born with duct-dependent congenital heart defects in association with prematurity or low birth weight is challenging. We describe two preterm and low birth weight infants with duct-dependent congenital heart disease where cardiac surgery was successfully delayed by maintaining ductal patency using a prolonged prostaglandin infusion. This allowed time for growth and maturation and therefore reduced the risks associated with surgery and cardiopulmonary bypass.Conclusion: Maintenance of ductal patency by a prolonged prostaglandin infusion in low birth weight or preterm infants with duct-dependent congenital heart disease is a viable option that allows cardiac surgery to be delayed whilst awaiting further growth and development.
Author(s): Brodlie M, Chaudhari M, Hasan A
Publication type: Article
Publication status: Published
Journal: Acta Paediatrica, International Journal of Paediatrics
ISSN (print): 0803-5253
ISSN (electronic): 1651-2227
Publisher: Wiley-Blackwell Publishing Ltd.
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