Percutaneous closure of congenital heart defects in children with chronic kidney disease

Mariela Matamoros-Hernández, Departamento de Cardiología Pediátrica, Instituto Nacional de Pediatría, Ciudad de México, México
José L. Colín-Ortiz, Departamento de Cardiología Pediátrica, Instituto Nacional de Pediatría, Ciudad de México, México
M. Carmen Cruz-Angulo, Departamento de Nefrología y Neonatología, Hospital Infantil de Tlaxcala, San Matías Tepetomatitlan, Tlaxcala, México
Roberto Tepatzi-Carranco, Departamento de Nefrología y Neonatología, Hospital Infantil de Tlaxcala, San Matías Tepetomatitlan, Tlaxcala, México
Alberto García-Tepehuac, Departamento de Nefrología y Neonatología, Hospital Infantil de Tlaxcala, San Matías Tepetomatitlan, Tlaxcala, México

Objective: The chronic kidney disease (CKD) in pediatric patients is a serious condition that sometimes is associated with congenital heart disease (CHD), this significantly increasing morbidity and mortality rates. The use of interventional cardiac catheterization has emerged in the last three decades as a less invasive alternative to surgical correction of many simple CHD, and it can be useful and viable option for patients with compromised renal function. Method: Retrospective and descriptive study. Results: We present the cases of three patients in pediatric age with CKD and CHD, whom successfully were underwent percutaneous closure. Conclusions: It is highlighting the efficacy and safety of cardiac catheterization in this high-risk group patients with CKD in advanced stages.

Keywords: Chronic kidney disease. Congenital heart disease. Percutaneous closure. Interventional cardiac catheterization.