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Weak femoral pulses post procedure
  1. Ian Scott Kendall1,
  2. Rachel Bates1,
  3. Steven Karyiannas2,
  4. Andrew J Sands1,
  5. Damien Kenny3
  1. 1 Paediatric Cardiology, Royal Belfast Hospital for Sick Children, Belfast, UK
  2. 2 Paediatric Department, Altnagelvin Hospitals Health and Social Services Trust, Londonderry, UK
  3. 3 Paediatric Cardiology Department, Children's Health Ireland, Dublin, Ireland
  1. Correspondence to Dr Ian Scott Kendall; scttkendall{at}googlemail.com

https://doi.org/10.1136/archdischild-2023-326725

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    A 10-month old, ex 29-week gestation infant attends general paediatric clinic. She is 2 months post-transcutaneous occlusion of a large patent ductus arteriosus (PDA) with a 10×8 ADO1 Amplatzer device; she weighed 5 kg at the time of procedure and was in clinical heart failure due to the large left-to-right shunt. At the time of procedure, it was noted that the device could lead to aortic obstruction. Discussion between the interventional and cardiothoracic determined that the position of the device was acceptable and that removal may exacerbate her heart failure. At discharge after the procedure, aortic occlusion by the device with time was highlighted as a risk, hence close follow-up was recommended. The patient had remained well since the procedure.

    On examining the patient, you find her mildly tachypnoeic (respiratory rate 50 BPM), with bilaterally equal air entry and saturations of 95%. She has a 2/6 ejection systolic murmur, which radiates to the back, both femoral pulses are difficult to palpate. …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer-reviewed.