Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report

Abstract Background Transcatheter coil occlusion has been the treatment of choice for closure of small patent ductus arteriosus (PDA). In spite of its safety, complications such as hemolysis still occasionally occur. And the hemolysis almost always occurs following partial transcatheter closure of P...

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Autores principales:	Mao-Sheng Hwang, Ching-Chia Kuo, Hung-Tao Chung, Hsin-Mao Hsu, Jaw-Ji Chu, Chao-Jan Wang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Case report Coil Hemolysis Patent ductus arteriosus Pulmonary artery banding Therapeutic embolization Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/0e44241d99ad4b73bcdef68fbe2592ab
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spelling	oai:doaj.org-article:0e44241d99ad4b73bcdef68fbe2592ab2021-11-21T12:04:05ZExpectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report10.1186/s12872-021-02365-z1471-2261https://doaj.org/article/0e44241d99ad4b73bcdef68fbe2592ab2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12872-021-02365-zhttps://doaj.org/toc/1471-2261Abstract Background Transcatheter coil occlusion has been the treatment of choice for closure of small patent ductus arteriosus (PDA). In spite of its safety, complications such as hemolysis still occasionally occur. And the hemolysis almost always occurs following partial transcatheter closure of PDA; hence, it occurs extremely rarely following complete transcatheter closure of PDA without residual ductal flow. Case presentation Here, we describe a male newborn who developed prolonged hemolysis following complete transcatheter coil closure of his PDA after previous palliative pulmonary artery banding. Over the following days, we corrected his refractory anemia by repeated blood transfusion with packed red blood cells and frequently monitored his hemoglobin, serum total bilirubin, and serum lactate dehydrogenase. We speculated that the high-velocity pulmonary blood flow jet coming into contact with the extruded part of the coil led to red blood cell mechanical injury, thereby resulting in the hemolysis. We adopted expectant management in expectation of the endothelialization of the coil with a resultant reduction in the hemolysis. The hemolysis, as expected, was reduced gradually until it spontaneously resolved 81 days after coil implantation. Conclusions This case reminds us that hemolysis can still potentially occur following complete transcatheter coil closure of PDA. It also highlights the importance of preventing coils from extruding into the pulmonary artery in patients after previous pulmonary artery banding.Mao-Sheng HwangChing-Chia KuoHung-Tao ChungHsin-Mao HsuJaw-Ji ChuChao-Jan WangBMCarticleCase reportCoilHemolysisPatent ductus arteriosusPulmonary artery bandingTherapeutic embolizationDiseases of the circulatory (Cardiovascular) systemRC666-701ENBMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Case report Coil Hemolysis Patent ductus arteriosus Pulmonary artery banding Therapeutic embolization Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Case report Coil Hemolysis Patent ductus arteriosus Pulmonary artery banding Therapeutic embolization Diseases of the circulatory (Cardiovascular) system RC666-701 Mao-Sheng Hwang Ching-Chia Kuo Hung-Tao Chung Hsin-Mao Hsu Jaw-Ji Chu Chao-Jan Wang Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report
description	Abstract Background Transcatheter coil occlusion has been the treatment of choice for closure of small patent ductus arteriosus (PDA). In spite of its safety, complications such as hemolysis still occasionally occur. And the hemolysis almost always occurs following partial transcatheter closure of PDA; hence, it occurs extremely rarely following complete transcatheter closure of PDA without residual ductal flow. Case presentation Here, we describe a male newborn who developed prolonged hemolysis following complete transcatheter coil closure of his PDA after previous palliative pulmonary artery banding. Over the following days, we corrected his refractory anemia by repeated blood transfusion with packed red blood cells and frequently monitored his hemoglobin, serum total bilirubin, and serum lactate dehydrogenase. We speculated that the high-velocity pulmonary blood flow jet coming into contact with the extruded part of the coil led to red blood cell mechanical injury, thereby resulting in the hemolysis. We adopted expectant management in expectation of the endothelialization of the coil with a resultant reduction in the hemolysis. The hemolysis, as expected, was reduced gradually until it spontaneously resolved 81 days after coil implantation. Conclusions This case reminds us that hemolysis can still potentially occur following complete transcatheter coil closure of PDA. It also highlights the importance of preventing coils from extruding into the pulmonary artery in patients after previous pulmonary artery banding.
format	article
author	Mao-Sheng Hwang Ching-Chia Kuo Hung-Tao Chung Hsin-Mao Hsu Jaw-Ji Chu Chao-Jan Wang
author_facet	Mao-Sheng Hwang Ching-Chia Kuo Hung-Tao Chung Hsin-Mao Hsu Jaw-Ji Chu Chao-Jan Wang
author_sort	Mao-Sheng Hwang
title	Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report
title_short	Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report
title_full	Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report
title_fullStr	Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report
title_full_unstemmed	Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report
title_sort	expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0e44241d99ad4b73bcdef68fbe2592ab
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_version_	1718419226181500928

Expectant management of prolonged hemolysis following complete transcatheter coil closure of a patent ductus arteriosus after previous pulmonary artery banding: a case report

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