Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2022; 10(35): 13015-13021
Published online Dec 16, 2022. doi: 10.12998/wjcc.v10.i35.13015
Management of ductal spasm in a neonate with pulmonary atresia and an intact ventricular septum during cardiac catheterization: A case report
Xu Zhang, Ning Zhang, Hai-Cheng Song, Yue-Yi Ren
Xu Zhang, Hai-Cheng Song, Yue-Yi Ren, Department of Heart Center, Qingdao Women's and Children's Hospital Affiliated to Qingdao University, Qingdao 266034, Shandong Province, China
Ning Zhang, Department of Medical Technology, Qingdao Women's and Children's Hospital Affiliated to Qingdao University, Qingdao 266034, Shandong Province, China
Author contributions: Zhang X and Ren YY drafted and revised the manuscript; Zhang N and Song HC collected all the data related to the case report; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient’s parent or guardian for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yue-Yi Ren, MD, Chief Physician, Department of Heart Center, Qingdao Women's and Children's Hospital Affiliated to Qingdao University, No. 217 Liaoyang West Road, Shibei District, Qingdao 266034, Shandong Province, China. xxgmz1173@126.com
Received: August 1, 2022
Peer-review started: August 1, 2022
First decision: October 17, 2022
Revised: October 29, 2022
Accepted: November 22, 2022
Article in press: November 22, 2022
Published online: December 16, 2022
Processing time: 134 Days and 18.9 Hours
Core Tip

Core Tip: In patients with ductal-dependent pulmonary blood flow, ductal spasm may lead to refractory hypoxemia and severe hemodynamic instability. Ductal stenting has been widely developed as an initial palliative strategy to secure pulmonary blood flow in such patients. We report a case of a neonate with pulmonary atresia and an intact ventricular septum who developed ductal spasm during ductal stenting. We discussed the appropriate treatment for ductal spasm in a neonate during cardiac catheterization.