Thorac Cardiovasc Surg 2011; 59(6): 370-372
DOI: 10.1055/s-0030-1250504
Case Reports
Cardiovascular
© Georg Thieme Verlag KG Stuttgart · New York

Hybrid Endovascular Stent-Grafting Technique for Patent Ductus Arteriosus in an Adult

S. Kainuma1 , T. Kuratani1 , Y. Sawa1
  • 1Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan
Further Information

Publication History

received August 5, 2010

Publication Date:
22 March 2011 (online)

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.

References

  • 1 Gold J P, Cohn L H. Operative management of the calcified patent ductus arteriosus.  Ann Thorac Surg. 1986;  41 567-568
  • 2 Ozmen J, Granger E K, Robinson D, White G H, Wilson M. Operation for adult patent ductus arteriosus using an aortic stent-graft technique.  Heart Lung Circ. 2005;  14 54-57
  • 3 Roques F, Hennequin J L, Sanchez B, Ridarch A, Rousseau H. Aortic stent-graft for patent ductus arteriosus in adults: the aortic exclusion technique.  Ann Thorac Surg. 2001;  71 1708-1709
  • 4 Saito N, Kimura T, Toma M et al. Transcatheter closure of patent ductus arteriosus with the Inoue single-branched stent graft.  J Thorac Cardiovasc Surg. 2005;  130 1203-1204
  • 5 Wang J K, Liau C S, Huang J J et al. Transcatheter closure of patent ductus arteriosus using Gianturco coils in adolescents and adults.  Catheter Cardiovasc Interv. 2002;  55 513-518
  • 6 Pass R H, Hijazi Z, Hsu D T, Lewis V, Hellenbrand W E. Multicenter USA Amplatzer patent ductus arteriosus occlusion device trial: initial and one-year results.  J Am Coll Cardiol. 2004;  44 513-519
  • 7 Peterson M D, Wheatley 3rd G H, Kpodonu J et al. Treatment of type II endoleaks associated with left subclavian artery coverage during thoracic aortic stent grafting.  J Thorac Cardiovasc Surg. 2008;  136 1193-1199

Dr. Yoshiki Sawa

Department of Cardiovascular Surgery
Osaka University Graduate School of Medicine

2-2(E1) Yamadaoka, Suita

565-0871 Suita

Japan

Phone: +81 6 68 79 31 51, +81 6 68 79 31 63

Email: Sawa@surg1.med.osaka-u.ac.jp