Patent Ductus Arteriosus with Infective Endocarditis at Age 92

Satoh, Tadashi; Nishida, Naoki

doi:10.2169/internalmedicine.47.0445

Cited by 18 publications

(13 citation statements)

References 17 publications

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“…The ductus diverts blood away from the high-resistance, unexpanded fetal circulation into the descending aorta and into the fetal arterial circulation 1). PDA is the failure of the duct closure between the pulmonary artery and aorta and the third most common congenital cardiovascular anomaly, comprising approximately 10% of congenital anomalies or about 1 or 2 in 3000 live births 4). Although most cases of PDA would seem to occur sporadically, multifactorial inheritance is believed to underlie in many cases and these people are thought to possess a genetic predisposition 2)…”

Section: Discussionmentioning

confidence: 99%

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A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man

et al. 2012

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Patent ductus arteriosus (PDA) is a rare clinical finding in adult patients. Considering the increase in cases of PDA discovered incidentally on echocardiograms at young ages, and the life-shortening effect of PDA, it is rare to diagnose PDA in old patients. We report a case of an 80-year-old patient who experienced symptoms of congestive heart failure showed findings suggestive of PDA in echocardiogram and confirmed the diagnosis through a cardiac catheterization and a coronary angiography. After percutaneous occlusion of PDA with an Amplatzer duct occlusion device, symptoms related to congestive heart failure improved.

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Section: Discussionmentioning

confidence: 99%

“…But presentation in adult life is rare since the lesion is usually diagnosed and closed surgically in infancy or early childhood 3)4)…”

Section: Discussionmentioning

confidence: 99%

A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man

et al. 2012

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“…However, the closure of a small asymptomatic PDA that is hemodynamically stable is controversial. Nonetheless transcatheter closure of PDA is technically easy and safe and even in small ductus, infective endocarditis is a concern in untreated cases6-12). Therefore, the transcatheter closure of PDA, regardless of the ductus size, is recommended.…”

Section: Introductionmentioning

confidence: 99%

Transcatheter closure of small ductus arteriosus with amplatzer vascular plug

et al. 2013

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PurposeThe purpose of this study was to share our experience of transcatheter closure of small patent ductus arteriosus (PDA) by using an Amplatzer vascular plug (AVP).MethodsWe reviewed the medical records of 20 patients who underwent transcatheter closure at Samsung Medical Center and Sejong General Hospital from January 2008 to August 2012. The size and shape of the PDAs were evaluated by performing angiograms, and the PDA size and the AVP devices size were compared.ResultsThe mean age of the patients was 54.9±45.7 months old. The PDAs were of type C (n=5), type D (n=12), and type E (n=3). The mean pulmonary end diameter of the PDA was 1.7±0.6 mm, and the aortic end diameter was 3.6±1.4 mm. The mean length was 7.3±1.8 mm. We used 3 types of AVP devices: AVP I (n=5), AVP II (n=7), and AVP IV (n=8). The ratio of AVP size to the pulmonary end diameter was 3.37±1.64, and AVP size/aortic end ratio was 1.72±0.97. The aortic end diameter was significantly larger in those cases repaired with AVP II than in the others (P=0.002). The AVP size did not significantly correlate with the PDA size, but did correlate with smaller ratio of AVP size to aortic end diameter (1.10±0.31, P=0.032).ConclusionTranscatheter closure of small PDA with AVP devices yielded satisfactory outcome. AVP II was equally effective with smaller size of device, compared to others.

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“…According to the medical literature, two of the oldest patients in whom PDA has been diagnosed are a 92-year-old Japanese woman [1] and a 90-year-old man from the USA [2]. …”

Section: Introductionmentioning

confidence: 99%

Persistent ductus arteriosus in a 72-year-old woman with paroxysmal atrial fibrillation and depression syndrome: a therapeutic and diagnostic problem

Poliwczak¹,

Koziróg²,

Zabielska³

et al. 2011

aoms

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Treating the elderly is often problematic, especially when congenital heart disease is diagnosed. The aim of this study is to present the case of a 72-year old woman with depression syndrome, paroxysmal atrial fibrillation and past cerebral stroke, in whom persistent ductus arteriosus Botalli was diagnosed. Due to exacerbation of the depressive syndrome, she did not give her consent to further diagnostics, possible interventional procedures and treatment with oral anticoagulants. After intermission of the therapy she was treated with dabigatran. The patient is still undergoing outpatient treatment and so far, no cerebrovascular episodes have been recorded.

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Patent Ductus Arteriosus with Infective Endocarditis at Age 92

Abstract: This report describes a 92-year-old woman patient with patent ductus arteriosus (PDA

Cited by 18 publications

References 17 publications

A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man

A Case of Patent Ductus Arteriosus with Congestive Heart Failure in a 80-Year-Old Man

Transcatheter closure of small ductus arteriosus with amplatzer vascular plug

Persistent ductus arteriosus in a 72-year-old woman with paroxysmal atrial fibrillation and depression syndrome: a therapeutic and diagnostic problem

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