Frequency of occurrence of residual ductal flow after surgical ligation by color-flow mapping

Sørensen, Keld E.; Kristensen, Bent Bruun; Hansen, Ole Henrik

doi:10.1016/0002-9149(91)90911-4

Cited by 96 publications

(41 citation statements)

References 10 publications

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“…The patient has cardiac symptoms in addition to palpitations. 9. The patient has undergone a cardiac examination that was designated "abnormal" by a pediatric cardiologist.…”

Section: Algorithm For Asymptomatic Child With a Systolic Murmurmentioning

confidence: 99%

Guidelines for evaluation and management of common congenital cardiac problems in infants, children, and adolescents. A statement for healthcare professionals from the Committee on Congenital Cardiac Defects of the Council on Cardiovascular Disease in the Young, American Heart Association.

et al. 1994

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“…The patient has cardiac symptoms in addition to palpitations. 9. The patient has undergone a cardiac examination that was designated "abnormal" by a pediatric cardiologist.…”

Section: Algorithm For Asymptomatic Child With a Systolic Murmurmentioning

confidence: 99%

Guidelines for evaluation and management of common congenital cardiac problems in infants, children, and adolescents. A statement for healthcare professionals from the Committee on Congenital Cardiac Defects of the Council on Cardiovascular Disease in the Young, American Heart Association.

et al. 1994

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“…Sorensen et al [23] observed 22% incidence of residual shunt associated with ligation of patent ductus arteriosus. However, other authors reported incidence of residual shunt around 0.4% to 3.1% [21,22].…”

Section: Discussionmentioning

confidence: 99%

Tratamento cirúrgico da persistência do canal arterial na população adulta

Jatene

Abuchaim

Tiveron³

et al. 2011

Rev Bras Cir Cardiovasc

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“…In some studies, surgical ligation was associated with a residual shunt rate of 18-23%. 2,3 Recently, several percutaneous methods for closure of PDAs have been used, mainly for small lesions. Porstmann et al developed transfemoral arterial plug closure of the PDA 4 in which a femoral arterial incision sufficient for insertion of the plug is necessary, and therefore excessive arterial injury sometimes occurs.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Coil Embolization of Large-Size Patent Ductus Arteriosus in Adult Patients

et al. 1999

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ranscatheter occlusion of a small ductus arteriosus is now commonly performed in children. However, there are only a small number of reports of transcatheter coil embolization of adult patent ductus arteriosus (PDAs). We attempted to occlude large PDAs in 3 adult patients with Cook detachable coils and we report the usefulness and problems of such a procedure. Case Reports Case 1A 58-year-old woman had exertional dyspnea and chest discomfort. On physical examination, she had a bounding peripheral pulse and a grade 2/6 continuous murmur at the left upper sternal border. Conventional 2-dimensional echocardiography demonstrated left ventricular and atrial enlargement, and a left ventricular ejection fraction of 71%. On color Doppler echocardiography, left-to-right PDA shunt flow was visible. On transesophageal echocardiography (TEE) the minimal diameter of the PDA was 5 mm. Informed consent for coil embolization was obtained.Right-and left-heart catheterization was performed and an oxygen step-up of the blood samples was detected at the pulmonary artery level.Aortography in the left anterior oblique projection revealed a funnel-shaped PDA (type A1) with a minimal diameter being 5.2 mm (Fig 1A). Following aortography, a 0.032-inch guidewire was advanced retrogradely from the aorta through the PDA into the pulmonary artery, and another guidewire of the same size was advanced anterogradely from the pulmonary artery through the PDA into the aorta. A 6F multipurpose catheter was advanced anterogradely and the guidewire was then removed. A 5-loop coil of 8 mm in diameter was delivered successfully into the PDA. Next, when another 6-F multipurpose catheter was inserted retrogradely, the prepositioned coil was dislodged into the main pulmonary artery. The coil was then successfully retrieved by a snare. Two multipurpose catheters were once more advanced through the PDA, one retrogradely and the other anterogradely. A 5-loop coil of 8 mm in diameter was delivered into the PDA anterogradely. Without detaching the coil, another 5-loop coil of 5 mm in diameter was sequentially delivered retrogradely. Aortography revealed slight residual flow (Fig 1B). Because of the risk of coil migration and the possibility of spontaneous complete closure of the PDA, no additional coiling was attempted and the 2 coils were then detached.The next day, a slight residual shunt was observed on color Doppler echocardiography. However, the patient's exertional dyspnea and chest discomfort disappeared. During her stay in hospital, her urine was not dark colored, and blood chemistry for hemolysis was not examined. Six months after the first procedure, a hematological examination revealed severe hemolytic anemia (Table 1). Transthoracic echocardiography demonstrated a smaller left ventricle and left atrium than that of 6 months previous (Table 2). On the transthoracic and transesophageal color Doppler echocardiography, a residual left-to-right PDA shunt flow was visible. The hemolysis was thought to be due to the shunt, and the patient underwent a sec...

show abstract

Frequency of occurrence of residual ductal flow after surgical ligation by color-flow mapping

Cited by 96 publications

References 10 publications

Guidelines for evaluation and management of common congenital cardiac problems in infants, children, and adolescents. A statement for healthcare professionals from the Committee on Congenital Cardiac Defects of the Council on Cardiovascular Disease in the Young, American Heart Association.

Guidelines for evaluation and management of common congenital cardiac problems in infants, children, and adolescents. A statement for healthcare professionals from the Committee on Congenital Cardiac Defects of the Council on Cardiovascular Disease in the Young, American Heart Association.

Tratamento cirúrgico da persistência do canal arterial na população adulta

Transcatheter Coil Embolization of Large-Size Patent Ductus Arteriosus in Adult Patients

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