Cardiac catheterisation for paediatric and congenital heart disease in Malta

Sub-title
AuthorsC Sciberras
V Grech
J V DeGiovanni
AbstractCardiac catheterisation remains an important tool in the diagnosis and treatment of congenital and paediatric heart disease. We present the overall totals and results of these catheters, both diagnostic and interventional (n>230), and illustrate with some interesting and unusual cases. These include: Stenting of severe origin stenoses of innominate and left common carotid arteries at 11 years of age after surgical coarctation repair in early infancy, mild coarctation of the aorta stented in the descending portion and restented at a later stage more proximally (two events). One premature infant with exomphalos and pneumonia who had stenting of the right ventricular outflow tract as a bridge to further palliation/repair. Helex closure of a small atrial septal defect with a residual leak through the device, who later suffered a transient ischaemic attack and had the leak closed with an Amplatzer cribriform device. One large PDA who had an Amplatzer plug deployed and was left with a residual large PDA, and who had a second Amplatzer plug inserted. Embolisation of a right coronary artery fistula. Three cases of right ventricular outflow tract obstruction who underwent novel RVOT ablation: one Williams syndrome, one post surgical repair of malaligned VSD and one after spontaneous closure of a malaligned VSD.

Published in:
JournalMalta Medical Journal
Volume18 Supplement
Page
Date01/12/2006
Link to journal

Key wordscardiac catheterisation, congenital heart disease, paediatrics

Compiled by: Dr. I. Stabile    Dr. J. Pace