A 52-year-old woman with patent ductus arteriosus underwent transpulmonary surgical closure through a median sternotomy. The procedure was performed under cardiopulmonary bypass with normothermia and a beating heart, using transductal balloon occlusion and a pursestring suture around the orifice of the ductus. The use of a pursestring suture allowed minimization of the risk of balloon breakage, obviated the need for profound hypothermia and circulatory arrest, and greatly increased the technical facility of the procedure.
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References
1.
GurcumUBogaMBadakMIOzkisacikEADiscigilB. Transpulmonary surgical closure of patent ductus arteriosus with hypothermic circulatory arrest in an adult patient. Tex Heart Inst J2005; 32: 88–90.
2.
TodaRMoriyamaYYamashitaMIguroYMatsumotoHYotsumotoG. Operation for adult patent ductus arteriosus using cardiopulmonary bypass. Ann Thorac Surg2000; 70: 1935–8.
3.
OmariBOShapiroSGinztonLMillikenJCBaumgartnerFJ. Closure of short, wide patent ductus arteriosus with cardiopulmonary bypass and balloon occlusion. Ann Thorac Surg1998; 66: 277–8.
4.
ArbatliHOzbekUDemirsoyEUnalMYaganNSonmezB. Repair of recurrent patent ductus arteriosus in an adult with cardiopulmonary bypass. J Card Surg2003; 18: 17–9.
5.
PassRHHijaziZHsuDTLewisVHellenbrandWE. Multicenter USA Amplatzer patent ductus arteriosus occlusion device trial: initial and one-year results. J Am Coll Cardiol2004; 44: 513–9.
6.
CelikerAAyparEKaragozTDilberECevizN. Transcatheter closure of patent ductus arteriosus with Nit-Occlud coils. Catheter Cardiovasc Interv2005; 65: 569–76.
7.
LabordeFNoirhommePKaramJBatisseABourelPSaint MauriceO. A new video-assisted thoracoscopic surgical technique for interruption of patent ductus arteriosus in infants and children. J Thorac Cardiovasc Surg1993; 105: 278–80.
