{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T06:09:00Z","timestamp":1787983740809,"version":"build-2784847793"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T00:00:00Z","timestamp":1723420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A 2-month-old female (3.4\u2009kg, 50\u2009cm) with Down syndrome and left-to-right shunting congenital heart defects underwent an unsuccessful transcatheter ductal closure, followed by bilateral implantation of manually modified microvascular plugs (MVP-9Q) from Medtronic (Minneapolis, MN, USA), used as pulmonary flow restrictors. Post-procedure, she developed febrile respiratory distress, leading to admission to the intensive care unit. Despite initial improvement, she was readmitted with respiratory syncytial virus infection, progressing to bilateral pneumonic consolidation. Subsequent complications included pulmonary artery aneurysmal dilatation attributed to pulmonary flow restrictors, which necessitated urgent surgery two months after their implantation. The surgery involved removing the pulmonary flow restrictors and repairing the injuries to the pulmonary artery, followed by management with extracorporeal support and targeted antibiotics. The patient recovered over 12\u2009months.<\/jats:p>","DOI":"10.1093\/ejcts\/ezae309","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T15:54:10Z","timestamp":1723478050000},"source":"Crossref","is-referenced-by-count":4,"title":["Word of caution: early life-threatening complication linked to pulmonary flow restrictors"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7605-4708","authenticated-orcid":false,"given":"Raymond N","family":"Haddad","sequence":"first","affiliation":[{"name":"M3C-Necker, H\u00f4pital Universitaire Necker-Enfants malades, Assistance Publique-H\u00f4pitaux de Paris (AP-HP) , Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan","family":"Faraji","sequence":"additional","affiliation":[{"name":"College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences , Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Kasem","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Heart Centre of Excellence, Al Jalila Children\u2019s Specialty Hospital , Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issam","family":"El Rassi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Heart Centre of Excellence, Al Jalila Children\u2019s Specialty Hospital , Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,12]]},"reference":[{"key":"2024091106555964500_ezae309-B1","doi-asserted-by":"crossref","first-page":"1150579","DOI":"10.3389\/fcvm.2023.1150579","article-title":"Outcomes of manually modified microvascular plugs to pulmonary flow restrictors in various congenital heart lesions","volume":"10","author":"Haddad","year":"2023","journal-title":"Front Cardiovasc Med"},{"key":"2024091106555964500_ezae309-B2","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1007\/s00246-021-02626-w","article-title":"Total transcatheter stage 1: a word of caution","volume":"42","author":"Nageotte","year":"2021","journal-title":"Pediatr Cardiol"},{"key":"2024091106555964500_ezae309-B3","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1007\/s13239-023-00674-2","article-title":"Transcatheter pulmonary artery banding in high-risk neonates: in-vitro study provoked by initial clinical experience","volume":"14","author":"Kizilski","year":"2023","journal-title":"Cardiovasc Eng Technol"},{"key":"2024091106555964500_ezae309-B4","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1007\/s00380-021-02007-6","article-title":"Embolization of vascular abnormalities in children with congenital heart diseases using Medtronic micro vascular plugs","volume":"37","author":"Haddad","year":"2022","journal-title":"Heart Vessels"},{"key":"2024091106555964500_ezae309-B5","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1111\/chd.12316","article-title":"Aneurysm of the pulmonary artery, a systematic review and critical analysis of current literature","volume":"11","author":"Duijnhouwer","year":"2016","journal-title":"Congenit Heart Dis"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezae309\/58800183\/ezae309.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/66\/3\/ezae309\/59080542\/ezae309.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/66\/3\/ezae309\/59080542\/ezae309.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T06:56:23Z","timestamp":1726037783000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezae309\/7731722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,12]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezae309","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,9]]},"published":{"date-parts":[[2024,8,12]]},"article-number":"ezae309"}}