Patch Closure of the Ductus Arteriosus: An Improved Method

Taira, Akira; Akita, Hachinen

doi:10.1016/s0003-4975(10)63900-8

Cited by 14 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A wide variety of surgical repair techniques, including ligation, patch closure 17 and balloon occlusion method 18 have been utilized in treating adult PDA, influenced mainly by the size, shape, calcification and friability of the PDA encountered. The use of CPB is not always necessary 19 but makes repair less hazardous.…”

Section: Discussionmentioning

confidence: 99%

Large Patent Ductus Arteriosus in an Adult Complicated by Pulmonary Endarteritis and Embolic Lung Abscess

Navaratnarajah

Mensah

Balakrishnan

et al. 2011

Heart International

View full text Add to dashboard Cite

Patent ductus arteriosus in the adult is an extremely rare clinical phenomenon. We report the case of a 34-year old man who developed pulmonary endarteritis and subsequent embolic lung abscess secondary to a large patent ductus arteriosus. This brief report also provides an overview of the natural history, potential complications, optimal therapy, and diagnostic dilemmas associated with this persistent congenital cardiac defect in adults.

show abstract

Section: Discussionmentioning

confidence: 99%

Large Patent Ductus Arteriosus in an Adult Complicated by Pulmonary Endarteritis and Embolic Lung Abscess

Navaratnarajah

Mensah

Balakrishnan

et al. 2011

Heart International

View full text Add to dashboard Cite

show abstract

“…The hernodynamic study performed 3 years after surgery showed worsening of his pulmonary hypertension (from 70 to 100 mmHg) with the prosthesis completely occluding the PDA. In a newborn (30 days old) with severe cardiomegaly and a thin MPA, we decided to ligate ( 1 ) is placed in the MPA, through which a measuring device is inseried (2) to determine the internal ductal diameter (3). Disappearance of the vascular thrill is perceived at the level of the descending thoracic aorta (4) by digital palpation.…”

Section: Resultsmentioning

confidence: 99%

Surgical Closure of the Patent Ductus Arteriosus with an Intravascular Prosthesis: Clinical Experience

Guffi

Magalhãaes

1994

J Cardiac Surgery

View full text Add to dashboard Cite

The authors developed a new prosthesis for patent ductus arteriosus (PDA) closure, using a delivery device inserted through the main pulmonary artery (MPA) avoiding ductal dissection and use of cardiopulmonary bypass. The prosthesis was inserted in 19 consecutive patients between 1985 and 1992. They have been followed for a mean of 4.8 years (minimum 30 days, maximum 7.5 years). There were 14 women (72%) and the average age was 11 years (16 months to 38 years). All patients presented with pulmonary hypertension (4 severe, 5 moderate, and 10 mild). Simultaneous surgical procedures for congenital heart disease were performed in two cases. One patient had a diffuse calcified PDA. The average diameter of the inserted prosthesis was 7.5 mm (3.5 to 12.5 mm). Neither hemorrhage nor prosthesis dislocation/embolization occurred during the implantation or in the postoperative period. In a newborn (30 days) with severe cardiomegaly and thin MPA, we decided to ligate the ductus. Chronic cor pulmonale contributed to death in one patient 3.7 years after operation. The remaining patients recovered well, without clinical evidence of residual shunt. Therefore, we recommend the use of this new prosthesis for PDA closure in cases of large ductus or ductus complicated with calcification, pulmonary hypertension, and when associated open heart surgery is required.

show abstract

“…The authors recommended careful techniques to prevent balloon rupture (6) . Taira and Akita described a method using a patch mounted on a Fogarty catheter via a transpulmonary route under cardiopulmonary bypass (7) .…”

Section: Discussionmentioning

confidence: 99%

Results of Closure of Patent Ductus Arteriosus in Adult Population Using Cardiopulmonary Bypass

ElDerie

Elsorogy²,

Sanad³

et al. 2022

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: Surgical repair of patent ductus arteriosus (PDA) in adults is more challenging compared to children. This study was conducted to report our experience using cardiopulmonary bypass (CPB) in adult cases with PDA. Aim of the work: The objective of this study is to evaluate the safety and efficacy of the usage of the cardiopulmonary bypass in management of PDA in the adult population, not suitable for trans-catheter closure. Patients and methods: This is a retrospective study that included all adult cases with PDA who had surgical closure for 5 years (

show abstract

Patch Closure of the Ductus Arteriosus: An Improved Method

Cited by 14 publications

References 6 publications

Large Patent Ductus Arteriosus in an Adult Complicated by Pulmonary Endarteritis and Embolic Lung Abscess

Large Patent Ductus Arteriosus in an Adult Complicated by Pulmonary Endarteritis and Embolic Lung Abscess

Surgical Closure of the Patent Ductus Arteriosus with an Intravascular Prosthesis: Clinical Experience

Results of Closure of Patent Ductus Arteriosus in Adult Population Using Cardiopulmonary Bypass

Contact Info

Product

Resources

About