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ISSN: Print -2349-0977, Online - 2349-4387
CASE IN POINT - CLINICS IN PEDIATRIC CARDIOLOGY AND OTORHINOLARYNGOLOGY
Year : 2017  |  Volume : 4  |  Issue : 3  |  Page : 198-200

Simultaneous balloon dilatation of subglottic stenosis and device closure of a large patent ductus arteriosus in infancy


1 Department of Pediatric Cardiology, Medica Superspeciality Hopsital, Mukundapur, Kolkata, West Bengal, India
2 Department of Otorhionolaryngology, Medica Superspeciality Hopsital, Mukundapur, Kolkata, West Bengal, India
3 Department of Pediatrics, Medica Superspeciality Hopsital, Mukundapur, Kolkata, West Bengal, India
4 Department of Anaesthesiology, Medica Superspeciality Hopsital, Mukundapur, Kolkata, West Bengal, India

Correspondence Address:
Anil K Singhi
Department of Pediatric Cardiology, Medica Superspeciality Hopsital, Mukundapur, Kolkata - 700 099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/astrocyte.astrocyte_22_17

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Anatomic obstruction of the tracheobronchial tree in a patient with large posttricuspid shunt is rare and causes significant respiratory symptoms. The treatment of such patients is challenging. Here, we discuss and highlight the importance of detailed evaluation, planning, and teamwork for minimally invasive treatment of two major causes of respiratory distress. Hospital record analysis of a young infant who underwent simultaneous minimally invasive therapy for both cardiac and tracheal lesions. A 7-month-old infant weighing 4.4 kg had very large patent ductus arteriosus (PDA), along with heart failure and severe subglottic stenosis. She underwent successful minimally invasive balloon dilatation of subglottic stenosis followed by transcatheter device closure of PDA. Minimally invasive therapy for subglottic stenosis and device closure of PDA in a small infant is a safe and effective treatment in a well-planned and coordinated team approach.


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