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DOI: 10.1055/s-0030-1250504
© Georg Thieme Verlag KG Stuttgart · New York
Hybrid Endovascular Stent-Grafting Technique for Patent Ductus Arteriosus in an Adult
Publikationsverlauf
received August 5, 2010
Publikationsdatum:
22. März 2011 (online)
![](https://www.thieme-connect.de/media/thoracic/201106/lookinside/thumbnails/10.1055-s-0030-1250504-1.jpg)
Abstract
A 51-year-old man was referred to our institution for patent ductus arteriosus (PDA) complicated by left ventricular dysfunction and pulmonary hypertension. Surgical closure of a PDA is usually carried out via a small posterior thoracotomy. However, thoracoscopic procedures are probably not appropriate in adults because of the frequency of calcification and the greater risk of rupture while ligating the ductus. To minimize surgical trauma, we used hybrid endovascular stent grafting combined with revascularization of the left subclavian artery, which enabled us to eliminate shunt flow to the pulmonary artery. At 11-month follow-up, the patient was asymptomatic and showed no complications.
Key words
Congenital heart disease - off‐pump surgery - stents - endovascular - stent grafting - patent ductus arteriosus - pulmonary hypertension - subclavian artery
References
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Dr. Yoshiki Sawa
Department of Cardiovascular Surgery
Osaka University Graduate School of Medicine
2-2(E1) Yamadaoka, Suita
565-0871 Suita
Japan
Telefon: +81 6 68 79 31 51, +81 6 68 79 31 63
eMail: Sawa@surg1.med.osaka-u.ac.jp