DEVICE CLOSURE OF LARGE PDA WITHOUT ARTERIAL PUNCTURE IN 40 DAYS OLD INFANT FAILING TO THRIVE

Abstract

Patent ductus arteriosus (PDA) is one of the common cardiac lesion present at birth. This communication is essential in fetal life and closes at birth with few exceptions which result in. It may be closed by surgery or by transcatheter device closure. Surgical ligation is an operative procedure and has more complications, scar formation and more hospital stay especially at neonatal age. Transcatheter patent ductus arteriosus device closure although challenging but is likely to avoid surgery, less hospital stay and no scar so very useful in low birth weight patients. We are presenting a case of 40 days old male baby with large patent ductus arteriosus (4.5mm) having significant left to right shunt presented to us with history of respiratory infections, fast breathing and failure to gain weight. He successfully underwent patent ductus arteriosus device closure with 6mm VSD SHSMA (Lipu medical) device.