Post Ligation Cardiac Syndrome: an Educational Presentation.

Isaac Azevedo Silva,Helmgton José Brito De Souza,Ricardo Barros Corso,Glauco Pina,Diane Lucio Vasconcelos,Viviane Bastos Paixão Marques,Marcus Vinicius Nascimento Santos,Leonardo Jadyr Silva Rodrigues Alves,Maria Paula Meireles Fenelon

doi:10.21470/1678-9741-2020-0278

Abstract

Although technically simple, surgical correction of patent ductus arteriosus can have serious complications. In this context, acute ventricular failure must be remembered, as its prompt diagnosis and proper management can change clinical outcomes.

Highlights

The patient was newborn, female, preterm, 14 days old, and diagnosed with patent ductus arteriosus (PDA), measuring 4.0 mm in diameter, with hemodynamic repercussion, refractory to attempted drug closure (Figures 1 and 2)
Urgent surgical ligation of the PDA was performed through a left minithoracotomy, using metal clips
Clinical deterioration with severe hypotension initiating after few hours of a surgery for PDA correction is compatible with cardiogenic shock, a condition known as post ligation cardiac syndrome (PLCS)

Summary

EDUCATIONAL FORUM

Isaac Azevedo Silva, MD, PhD; Ricardo Barros Corso, MD; Glauco Pina, MD; Marcus Vinicius Nascimento Santos, MD; Helmgton José Brito de Souza, MD, PhD; Maria Paula Meireles Fenelon; Leonardo Jadyr Silva Rodrigues Alves; Diane Lucio Vasconcelos, MD; Viviane Bastos Paixão Marques, MD

INTRODUCTION

BRIEF CONSIDERATION OF THE CASE REPORTED

LEARNING POINTS