Patent ductus arteriosus in patients more than 50 years old

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

“…Currently, the 2 approaches for PDA closure are surgical closure (285,286) and percutaneous catheter closure. Surgical closure of PDA in the adult may pose some problems due to the friability and/or calcification of the ductus, atherosclerosis, and aneurysm formation, as well as the presence of other unrelated comorbid conditions, such as coronary atherosclerosis or renal disease, that may adversely affect the perioperative risk.…”

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

“…Complications may include recurrent laryngeal nerve or phrenic nerve injury or thoracic duct injury. 285,286 and percutaneous catheter closure. Surgical closure of PDA in the adult may pose some problems due to the friability and/or calcification of the ductus, atherosclerosis, and aneurysm formation, as well as the presence of other unrelated comorbid conditions, such as coronary atherosclerosis or renal disease, that may adversely affect the perioperative risk.…”

Congenital Heart Diseases in Aged Patients

“…Patent ductus arteriosus is an example of a CHD in which patients may survive well into adulthood without prior recognition or correction before symptoms arise. 12,13 On the other hand, CHDs with high mortality in childhood are more rarely reported in aged patients. In the elderly, few cases have been reported of partial pulmonary venous drainage 14,15 concerning left pulmonary connection or anomalous connection with the inferior vena cava.…”