Patent ductus arteriosus (PDA) is a form of congenital heart disease uncommonly diagnosed in adult patients. Transcatheter closure of PDA has been widely used in children. However, the experience is limited in adults especially with use of Gianturco coils. The authors describe a case of successful transcatheter closure of a PDA, inciden tally diagnosed in a 41-year-old woman, by successively deploying two coils by a transar terial approach. No residual shunting was seen angiographically after the procedure. A literature review of similar procedures in adult patients is discussed.
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References
1.
Keys A., Shapiro MJ: Patency of the ductus arteriosus in adults. Am Heart J25:158-186, 1943.
2.
Porstmann W. , Wierny L., Warnke H.: Closure of persistent ductus arteriosus without thoracotomy. Ger Med Mon12:259-261, 1967.
3.
Rashkind WJ, Cuaso CC: Transcatheter closure of patent ductus arteriosus: Successful use in a 3.5-kg infant. Pediatr Cardiol1:3-7, 1979.
4.
Schenck MH, O'Laughlin MP, Rockey R., et al: Transcatheter occlusion of patent ductus arteriosus in adults. Am J Cardiol72:591-596, 19??
5.
Vernin V., Saveliev S., Kolody S., et al: Results of transcatheter closure of the patent ductus arteriosus with the botallooccluder. J Am Coll Cardiol22:1509-1514, 1993.
6.
Bridges N., Perry S., Parness I., et al: Transcatheter closure of a large patent ductus arteriosus with the clamshell septal umbrella. J Am Coll Cardiol18:1297-1302, 1991.
7.
Rao PS, Sideris EB, Haddad J., et al: Transcatheter occlusion of patent ductus arteriosus with adjustable buttoned device: Initial clinical experience. Circulation88:1119-1126, 1993.
8.
Cambier P., Kirby W., Wortham D., et al: Percutaneous closure of the small (< 2.5 mm) patent ductus arteriosus using coil embolization.Am J Cardiol69:815-816, 1992.
9.
Lloyd TR, Fedderly R., Mendelsohn AM, et al : Transcatheter occlusion of patent ductus arteriosus with Gianturco coils. Circulation88:1412-1420, 1993.
10.
Hijazi M., Geggel R.: Results of anterograde transcatheter closure of patent ductus arteriosus using single or multiple Gianturco coils. Am J Cardiol74:925-929, 1994.
11.
Owada CY, Teitel DF, Moore P.: Evaluation of Gianturco coils for closure of large (> or = 3.5 mm) patent ductus arteriosus. 30:1856-1862, 1997 .