Interventional re-opening of a PDA for reverse potts shunt circulation after ADO i implantation in a child

Catheter Cardiovasc Interv. 2017 Mar 1;89(4):E133-E136. doi: 10.1002/ccd.26680. Epub 2016 Aug 12.


We report interventional re-opening of a PDA for reverse Potts shunt circulation 12 months after closure in a 3.8 year old child, suffering from right ventricular (RV) failure due to suprasystemic pulmonary artery hypertension (PAH) after ADO I implantation. After ex vivo simulation, perforation through the mesh of the ADO I with the use of transseptal needle, wire looping (AO-PA), balloon dilatation, stent implantation (Palmaz 6 mm) and post dilatation, a reverse Pott-shunt circulation was established. A follow-up period of 11 months was achieved with preserved RV function and reverse Pott shunt circulation maintained a post ductal saturation of 94-88%. © 2016 Wiley Periodicals, Inc.

Keywords: congenital heart disease; pediatric intervention; pediatrics; pulmonary hypertension.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Ductus Arteriosus, Patent / complications
  • Ductus Arteriosus, Patent / diagnosis
  • Ductus Arteriosus, Patent / surgery*
  • Echocardiography
  • Follow-Up Studies
  • Heart Failure / diagnosis
  • Heart Failure / etiology
  • Heart Failure / surgery*
  • Humans
  • Hypertension, Pulmonary / complications*
  • Hypertension, Pulmonary / diagnosis
  • Hypertension, Pulmonary / physiopathology
  • Male
  • Prosthesis Failure
  • Pulmonary Circulation / physiology
  • Pulmonary Wedge Pressure
  • Reoperation
  • Septal Occluder Device / adverse effects*
  • Stents*
  • Time Factors
  • Ventricular Dysfunction, Right / complications
  • Ventricular Dysfunction, Right / diagnosis
  • Ventricular Dysfunction, Right / surgery*
  • Ventricular Function, Right / physiology*