Thoracic endovascular aortic repair of adult patent ductus arteriosus with pulmonary hypertension

Lai, Yongqiang; Xu, Shumin; Li, Zhizhong; Yang, Baoxue; Wang, Su; Li, Jinhua; Li, Jingwei; Luo, Yumin; Zhang, Zhao‐Guang

doi:10.1016/j.jtcvs.2007.11.028

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…Percutaneous treatment is presented as an alternative with good results even in cases of severe pulmonary hypertension [26]. In our series, 12 patients there was previously attempt to closure of DA using coil devices, due to unavailability of the Amplatzer-type prosthesis, which can achieve 100% treatment success [27].…”

Section: Discussionmentioning

confidence: 95%

Tratamento cirúrgico da persistência do canal arterial na população adulta

Jatene

Abuchaim

Tiveron³

et al. 2011

Rev Bras Cir Cardiovasc

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Section: Discussionmentioning

confidence: 95%

Tratamento cirúrgico da persistência do canal arterial na população adulta

Jatene

Abuchaim

Tiveron³

et al. 2011

Rev Bras Cir Cardiovasc

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“…10,11 Good results have been reported with zone 2 TEVAR for adult PDA without revascularization to the left subclavian artery. 12 However, zone 2 TEVAR is associated Figure 3. Preoperative images of a 23-year-old woman.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 Good results have been reported with zone 2 TEVAR for adult PDA without revascularization to the left subclavian artery. 12 However, zone 2 TEVAR is associated with a risk of spinal cord ischemia, left arm malperfusion, and subclavian steal syndrome. 13 The use of a fenestrated stent graft or bypass to the left subclavian artery may be considered to protect blood flow in the left subclavian artery.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Endovascular Aortic Repair for Pseudoaneurysms After Repair of Patent Ductus Arteriosus

Mitsuoka

Orimoto

Arima

et al. 2020

Vasc Endovascular Surg

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Background: Pseudoaneurysms that develop after surgical repair of a patent ductus arteriosus (PDA) are more likely to rupture, but open surgery including a repeat thoracotomy would be highly invasive. We report 2 cases of thoracic endovascular aortic repair (TEVAR) for such pseudoaneurysms. Methods/Results: A 59-year-old woman who underwent PDA surgical ligation at 13 years of age presented with sudden hemoptysis. She was diagnosed with a ruptured distorted pseudoaneurysm sized 26 mm; emergency TEVAR was performed. A 23-year-old woman with a history of Down syndrome, endocardial cushion defect, and PDA underwent 2 thoracotomy surgeries including PDA ligation. During a medical checkup, an abnormal shadow was detected on chest radiography. She was diagnosed with a 15-mm pseudoaneurysm after PDA surgical repair; TEVAR was performed. In both cases, the postoperative course was uneventful. Conclusions: To the best of our knowledge, this is the first report of emergency TEVAR for ruptured pseudoaneurysms after PDA ligation. Thoracic endovascular aortic repair is an important therapeutic option for such cases as it eliminates the need for repeat thoracotomy.

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“…2,7,8 Stent-grafting can be applicable regardless of the size of the PDA. Lai and colleagues 8 reported that a suffi cient proximal landing zone was essential for a stent-graft and PDA sealing.…”

Section: Discussionmentioning

confidence: 99%

Open stent-grafting for adult patent ductus arteriosus with a distal aortic arch aneurysm

Sasaki

Shimizu

Ohno

et al. 2011

Gen Thorac Cardiovasc Surg

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Closure of adult patent ductus arteriosus (PDA) is difficult for its variation. We report a case of open stent-grafting for a 67-year-old woman who had PDA and a concomitant distal aortic arch aneurysm. The pulmonary/systemic flow ratio was 1.88, and the pulmonary arterial pressure was 34/21(25). The operation was done through a median sternotomy under hypothermic cardioplegic arrest. We opened the anterior wall of the arch just distal to the left subclavian artery and placed a stent-graft into the descending aorta. At 5 months after discharge, three-dimensional computed tomography showed disappearance of PDA and no endoleak of the stent-graft.

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Thoracic endovascular aortic repair of adult patent ductus arteriosus with pulmonary hypertension

Cited by 8 publications

References 5 publications

Tratamento cirúrgico da persistência do canal arterial na população adulta

Tratamento cirúrgico da persistência do canal arterial na população adulta

Thoracic Endovascular Aortic Repair for Pseudoaneurysms After Repair of Patent Ductus Arteriosus

Open stent-grafting for adult patent ductus arteriosus with a distal aortic arch aneurysm

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