Operation for adult patent ductus arteriosus using cardiopulmonary bypass

Toda, Riichiro; Moriyama, Yukinori; Yamashita, Masafumi; Iguro, Yoshifumi; Matsumoto, Hitoshi; Yotsumoto, Goichi

doi:10.1016/s0003-4975(00)01702-1

Cited by 48 publications

(37 citation statements)

References 8 publications

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“…Since it is hazardous to divide or ligate the ductus, hypothermic circulatory arrest and balloon occlusion using CPB have been reported as the standard procedures for treatment of adult PDA. 1) In our case, it was safe and effective to perform the transpulmonary patch closure under hypothermic circulatory arrest while securing a good exposure of the PDA. As the PDA was large, the use of a coil and Amplatzer duct occluder was contraindicated.…”

Section: Discussionmentioning

confidence: 63%

Simultaneous Surgery for Patent Ductus Arteriosus Associated with Papillary Fibroelastoma

Morishita

Tomioka

Katahira

et al. 2014

ATCS

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We describe a case of patent ductus arteriosus (PDA) in a 76-year-old woman with a history of stroke, atrial fibrillation, and chronic obstructive pulmonary disease. Cranial diffusion-weighted imaging (DWI) performed for preoperative assessment showed a hyperintense lesion in the left cerebellum. Preoperative transesophageal echocardiography (TEE) demonstrated two highly mobile masses approximately 5 mm in diameter adherent to the left and non-coronary cusps of the aortic valve. We performed transpulmonary patch closure of PDA under hypothermic circulatory arrest. Subsequently, two frond-like masses were completely shaved off the cusps, preserving the native aortic leaflets. Pathological examination confirmed the diagnosis of papillary fibroelastoma (PFE). To our knowledge, this is the first report of PDA associated with PFE. Perioperative use of TEE is an effective tool for management of cardiovascular patients with suspected cardiogenic embolism.

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Section: Discussionmentioning

confidence: 63%

Simultaneous Surgery for Patent Ductus Arteriosus Associated with Papillary Fibroelastoma

Morishita

Tomioka

Katahira

et al. 2014

ATCS

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“…Thus, it often requires a cardiopulmonary bypass and a patch closure through the pulmonary artery [1]. This report suggests that TEVAR may also become an alternative to open surgery as well as the other transcatheter procedures.…”

Section: Discussionmentioning

confidence: 96%

Thoracic endovascular aortic repair for patent ductus arteriosus in an elderly patient with congestive heart failure

Kato

Nakai

Tokunaga

et al. 2014

Gen Thorac Cardiovasc Surg

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In elderly patients, open surgery for patent ductus arteriosus (PDA) is more difficult than that in children and often requires a cardiopulmonary bypass. We report the case of a 67-year-old patient with a PDA that was successfully treated with thoracic endovascular aortic repair (TEVAR). The patient was diagnosed with congestive heart failure (ejection fraction, 36 %) and PDA (9.7 mm in diameter). TEVAR was successfully performed to exclude the PDA. After TEVAR, the patient's heart failure was well controlled by diuretics. TEVAR may be a good alternative to open surgery.

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“…5,6) Given the possibility of morbidity (e.g., residual shunt or a ductal aneurysm) from other procedures, the usefulness of a stent graft for closure has been studied. 7,8) With a stent graft, sufficient proximal and distal landing zones are required to avoid endoleaks or migration of the device. However, the size of the proximal landing zone is often too small for a stent graft, because PDA usually occurs close to the left subclavian artery.…”

Section: Discussionmentioning

confidence: 99%

Use of a Stent Graft for Patent Ductus Arteriosus in an Octogenarian Eliminates Ductus Flow

Tatsuishi

Kataoka

Asano

et al. 2016

ATCS

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Closure of a patent ductus arteriosus (PDA) in the elderly is a high-risk procedure because of tissue fragility and many possible complications. The patient in our case was an 81-yearold woman with a window-type PDA caused by cardiac failure. Based on the anatomy of the PDA and aorta and to minimize invasion, we used a stent graft to close the PDA. This approach was successful; hemodynamics improved and ductus flow was eliminated during the follow-up period without intervention from the pulmonary artery side.

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Operation for adult patent ductus arteriosus using cardiopulmonary bypass

Cited by 48 publications

References 8 publications

Simultaneous Surgery for Patent Ductus Arteriosus Associated with Papillary Fibroelastoma

Simultaneous Surgery for Patent Ductus Arteriosus Associated with Papillary Fibroelastoma

Thoracic endovascular aortic repair for patent ductus arteriosus in an elderly patient with congestive heart failure

Use of a Stent Graft for Patent Ductus Arteriosus in an Octogenarian Eliminates Ductus Flow

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