Premature closure of the fetal ductus arteriosus after maternal use of non‐steroidal anti‐inflammatory drugs

1998 ◽  
Vol 169 (5) ◽  
pp. 270-271 ◽  
2021 ◽  
pp. 1-4
Author(s):  
Lilian M. Lopes ◽  
Rodrigo F. Bezerra ◽  
Jose Pedro da Silva ◽  
Luciana da Fonseca da Silva

Abstract We report an innovative treatment strategy for fetal Ebstein’s anomaly with a circular shunt. We used transplacental non-steroidal anti-inflammatory drugs, at the 29th gestational week, to constrict the ductus arteriosus avoiding fetal demise. We addressed the critical neonate with an urgent Starnes procedure. Finally, instead of following the usual single-ventricle palliation pathway after the Starnes procedure, we achieved successful two-ventricle repair with the cone technique at 5 month old.


2009 ◽  
Vol 22 (sup3) ◽  
pp. 77-80 ◽  
Author(s):  
Hercília Guimarães ◽  
Gustavo Rocha ◽  
Teresa Tomé ◽  
Fani Anatolitou ◽  
Kosmas Sarafidis ◽  
...  

2015 ◽  
Vol 28 (3) ◽  
pp. 200-203
Author(s):  
Katarzyna Dyndor ◽  
Wojciech Dworzanski ◽  
Małgorzata Pliszczynska-Steuden ◽  
Monika Cendrowska-Pinkosz ◽  
Tomasz Chroscicki ◽  
...  

Abstract Non-selective cyclooxygenase (COX) inhibitors, commonly referred to as nonsteroidal anti-inflammatory drugs (NSAIDs), are among the most taken pharmaceuticals. In adults, they can have a series of side effects, including especially gastroenterotoxicity, hepatotoxicity, nephrotoxicity, chondrotoxicity, and neurotoxicity, and they can induce allergic reactions. Any exacerbation of symptoms depends on the chemical structure of the drug, its dosage and duration of exposure, individual sensitivity, comorbidities and the degree of inhibition of basic COX isoenzymes - the constitutive (COX-2) and induced (COX-1) expressions. However, data on prenatal toxicity are inconsistent. Classic nonselective COX inhibitors do not result in an increase in the risk of developing significant congenital defects; however, if used in the late-pregnancy period, they can have an adverse effect on the foetus, by inducing the premature closure of the ductus arteriosus and by producing a tocolytic effect. Individual reports also indicate the increased risk of developing heart and anterior abdominal wall defects, as well as hypospadias.


2020 ◽  
Vol 30 (4) ◽  
pp. 588-590
Author(s):  
Agnieszka Grzyb ◽  
Adam Koleśnik ◽  
Dariusz Gruszfeld ◽  
Joanna Szymkiewicz-Dangel

AbstractPrenatal restriction of the ductus arteriosus can manifest as persistent pulmonary hypertension in the newborn, especially dangerous with the transposition of the great arteries. Its aetiology has long been related to maternal intake of non-steroidal anti-inflammatory drugs; however, some other substances, including polyphenols, may have similar properties. We describe a case of complete prenatal closure of the ductus arteriosus in the foetus with transposition of the great arteries. The newborn presented with pulmonary hypertension unresponsive to pharmacotherapy and died of multi-organ failure.


2021 ◽  
Vol 53 (1) ◽  
pp. 860-873
Author(s):  
Giovanna Battistoni ◽  
Ramona Montironi ◽  
Jacopo Di Giuseppe ◽  
Luca Giannella ◽  
Giovanni Delli Carpini ◽  
...  

2011 ◽  
Vol 24 (sup1) ◽  
pp. 50-52 ◽  
Author(s):  
Vassilios Fanos ◽  
Maria Antonietta Marcialis ◽  
Pier Paolo Bassareo ◽  
Roberto Antonucci ◽  
Marco Zaffanello ◽  
...  

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