Stenting the Ductus Arteriosus of a Patient with Tetralogy of Fallot and Trisomy 18: Case Report and Updated Review

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Published: Jun 30, 2025
DOI: https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr97
Keywords:
Tetralogy de Fallot, Ductus Arteriosus, Patent Ductus Arteriosus

Main Article Content

Márcio Erlei Vieira de Sá Filho
Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais
Marina Ayres Delgado
Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais
https://orcid.org/0000-0001-6428-1516
Bruno Vinicius Castello Branco
Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais
David Ribeiro do Nascimento
Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais

Abstract


Ductal stent implantation is a palliative procedure that can be performed in cases of congenital heart defects dependent on the patency of the ductus arteriosus, such as Tetralogy of Fallot. It is a widely effective technique, with low complication rates and less invasive than the modified Blalock-Taussig palliative surgery, making it a viable and safe option for high-surgical-risk patients. Moreover, it is crucial for the anesthesiologist to be familiar with the pathophysiological characteristics of these ductus arteriosus-dependent heart conditions to ensure appropriate perioperative management. The objective of this work is to describe the challenging anesthetic management of a newborn with Tetralogy of Fallot and Edwards Syndrome who underwent ductal stent implantation via endovascular approach at a quaternary care center.


Article Details

How to Cite
Sá Filho, M. E. V. de, Delgado, M. A., Branco, B. V. C., & Nascimento, D. R. do. (2025). Stenting the Ductus Arteriosus of a Patient with Tetralogy of Fallot and Trisomy 18: Case Report and Updated Review. Brazilian Journal of Case Reports, 5(1), bjcr97. https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr97
Issue
Vol. 5 No. 1 (2025): January/December - 2025
Section
Clinical Case Reports
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biographies

Márcio Erlei Vieira de Sá Filho, Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais

Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Marina Ayres Delgado, Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais

Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

Bruno Vinicius Castello Branco, Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais

Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

David Ribeiro do Nascimento, Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais

Division of Anesthesiology, Department of Surgery, Hospital das Clínicas de Belo Horizonte, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

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