A ruptured large aneurysm of the ductus arteriosus.

Tsujimoto, Shoji; Hirose, Katsumi; Ohyagi, Akira

doi:10.1136/hrt.57.3.289

Cited by 8 publications

(4 citation statements)

References 5 publications

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“… 15 Dyspnea, cough, chest pain, and dysphagia due to mechanical compression as well as bloody sputum and hemoptysis may also occur and are possible signs of rupture into the airway and esophagus. 7,16 …”

Section: Discussionmentioning

confidence: 99%

Incidentally identified ductus arteriosus aneurysm in eight adults: a case series

et al. 2021

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Ductus arteriosus aneurysm (DAA) in adulthood is a rare entity. We retrospectively reviewed our medical records from the past ten years and identified eight cases of adult DAA (six males and two females aged between 69 and 89 years; mean, 76 years), using multi planar reconstruction and three-dimensional reconstruction computed tomography (CT) images. The aneurysm was suspected incidentally in all cases based on the results of chest radiographic screening or postoperative follow-up CT for lung or colon cancer. All eight patients were asymptomatic but had a history of or concurrent hypertension (n = 5, 62.5%), diabetes mellitus (n = 3, 37.5%), cerebrovascular disease (n = 3, 37.5%), ischemic heart disease (n = 1, 12.5%), and cardiac failure (n = 1). All patients had no history of trauma (n = 8, 100%). Six had a history of cigarette smoking. The aneurysm size ranged from 2.0 × 4.0 to 6.3 × 5.3 cm (mean, 3 × 5 cm). The surgical procedures used were four cases of total arch replacement and two cases of thoracic endovascular aortic repair. Two patients were not surgically treated. The median follow-up was 14.5 months (range, 2 months to 9 years). In the two patients who were not surgically treated, the aneurysm enlarged in one, and remained unchanged in the other. Of the six cases surgically-managed cases, one was lost to follow-up, and another patient died of an unrelated cause. The remaining four cases had no enlargement of the aneurysm. No ruptures were reported in any of the cases. DAA should be considered when a saccular aneurysm is located in the minor curvature of the aortic arch and extending toward the left pulmonary trunk in adult patients. Differentiating adult DAA is important, because it is associated with a high risk of rupture due to the fragile nature of true aneurysms.

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Section: Discussionmentioning

confidence: 99%

Incidentally identified ductus arteriosus aneurysm in eight adults: a case series

et al. 2021

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“…Aneurysm of the ductus diverticulum is rarely reported in adults, and preoperative diagnosis is difficult. [1][2][3][4] With the advent of more sophisticated diagnostic methods, preoper- ative recognition of these aneurysms is more frequent. We found 39 reports of aneurysm of the ductus diverticulum in the literature (Table ).…”

Section: Discussionmentioning

confidence: 99%

“…We found 39 reports of aneurysm of the ductus diverticulum in the literature (Table ). [1][2][3][4][5][6][7][8][9][10][11][23][24][25][26] The aortic end of the ductus diverticulum is patent, whereas the pulmonary end is usually closed. The aneurysm forms as a result of incomplete closure of the ductus arteriosus in its aortic site, from pressure overload, such as hypertension and atherosclerotic changes of aging.…”

Section: Discussionmentioning

confidence: 99%

“…Aneurysm of the ductus diverticulum is rare in adults, and most reported cases were repaired with surgery. [1][2][3][4][5][6][7][8][9][10][11] Transluminal endovascular stent-graft placement in patients with thoracic aortic aneurysm is emerging as an attractive alternative to conventional open surgery. 12,13 However, its application is limited to descending thoracic aortic aneurysms distal to the aortic arch.…”

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confidence: 99%

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Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: Case report and review of literature

Saito

Kimura

Toma

et al. 2004

Journal of Vascular Surgery

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Aneurysm of the ductus diverticulum rarely has been reported in adults, and the reported aneurysms were treated with conventional open surgery or were diagnosed at autopsy. We report a successful endovascular repair of an aneurysm of the ductus diverticulum with the Inoue branched stent graft. In a 78-year-old woman, an abnormal shadow was noted at the aortopulmonary window on a chest x-ray film. A computed tomography scan demonstrated a 3.8-cm saccular aneurysm, which protruded inferiorly from the distal end of the aortic arch. The aneurysm was considered an aneurysm of the ductus diverticulum, and surgery was required. However, the patient was considered at high risk for respiratory dysfunction with conventional open surgery. Endovascular repair with an Inoue single-branched stent graft was performed with the patient under local anesthesia, successfully and without complication or endoleak. To our knowledge, this is the first report of endovascular treatment of an aneurysm of the ductus diverticulum.

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Aneurysm of the nonpatent ductus arteriosus in the adult —A report of the case and review of the literature—

Myojin

Ishibashi

Ishii

et al. 1998

Jpn J Thorac Caridovasc Surg

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Aneurysm of the ductus arterious in adult in rare. 28 cases have been previously reported in the Japanese literature. A new 73-year-old male case, preoperatively diagnosed and successfully repaired, are presented. The patient with hoarseness was admitted to our hospital. Contrast-enhanced CT scans and aortograms made a diagnosis for the aneurysm of the ductus arteriosus. Operation was done through left thoracotomy with the aid of partial cardiopulmonary bypass. The pulmonary arterial end of the ductus arteriosus was closed and a Ligamentum arteriosus was identified. A 3 by 2.7 cm saccular aneurysm was resected and segmental replacement of the aorta with woven dacron graft was performed. Because of it's critical location and the high incidence of complications, aneurysm of the ductus arteriosus in the adult should be surgically corrected when diagnosed.

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A ruptured large aneurysm of the ductus arteriosus.

Cited by 8 publications

References 5 publications

Incidentally identified ductus arteriosus aneurysm in eight adults: a case series

Incidentally identified ductus arteriosus aneurysm in eight adults: a case series

Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: Case report and review of literature

Aneurysm of the nonpatent ductus arteriosus in the adult —A report of the case and review of the literature—

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