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Surgical ligation of a residually patent arterial duct following failed occlusion using transcatheter coils

Published online by Cambridge University Press:  24 May 2005

Derek S. Wheeler ,
James Matthew Maxwell  and
W. Bradley Poss
Derek S. Wheeler
Affiliation:
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA Department of Pediatrics, Division of Cardiothoracic Surgery, Naval Medical Center, USA
James Matthew Maxwell
Affiliation:
Department of Surgery, Division of Cardiothoracic Surgery, Naval Medical Center, San Diego, CA, USA International Heart Institute of Montana, Missoula, MT, USA
W. Bradley Poss
Affiliation:
Department of Pediatrics, Division of Cardiothoracic Surgery, Naval Medical Center, USA
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Abstract

Transcatheter techniques for occlusion of the persistently patent arterial duct using coils have become standard therapy at many centers for pediatric cardiology, and in selected patients have demonstrated comparable efficacy to surgical ligation. Surgical ligation may still be required in many cases, including premature infants or those born with low weight, those with ducts of large diameter, those with associated structural heart disease, and in circumstances of unsuccessful occlusion subsequent to attempted closure using coils. We report on the successful surgical ligation of an arterial duct of moderate size that exhibited residual patency despite two separate attempts at occlusion using coils.

Keywords

Ductus arteriosuscongenital heart diseasecardiac catheterization
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 6 , December 2003 , pp. 574 - 575
Copyright
© 2003 Cambridge University Press

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References

Ali Kahn MA, Al Yousef S, Mullins CE, Sawyer W. Experiences with 205 procedures of transcatheter closure of ductus arteriosus in 182 patients, with special reference to residual shunts and long term follow-up. J Thorac Cardiovasc Surg 1992; 104: 1721–1727.Google Scholar
Lloyd TR, Fedderly R, Mendelsohn AM, Sandhu SK, Beekman RH. Transcatheter occlusion of patent ductus arteriosus with Gianturco coils. Circulation 1993; 88 (Part 1): 1414–1420.Google Scholar
Cambier PA, Kirby WC, Wortham DC, Moore JW. Percutaneous closure of the small (<2.5 mm) patent ductus arteriosus using occluding spring coils. J Am Coll Cardiol 1994; 23: 759–765.Google Scholar
Radtke WA. Current therapy of the patent ductus arteriosus. Curr Opin Cardiol 1998; 13: 59–65.Google Scholar
Hijazi ZM, Geggel RL. Results of antegrade transcatheter closure of patent ductus arteriosus using single or multiple Gianturco coils. Am J Cardiol 1994; 74: 925–929.Google Scholar
Lloyd TR, Beekman RH, Moore JW, et al. The PDA coil registry: report of the first 535 procedures. Circulation 1995; 92: I-380 (abstract).Google Scholar
Henry G, Danilowicz D, Venna R. Severe hemolysis following partial coil-occlusion of patent ductus arteriosus. Cathet Cardiovasc Diagn 1996; 39: 410–412.Google Scholar
Shim D, Wechsler DS, Lloyd TR, Beekman RH. Hemolysis following coil embolization of a patent ductus arteriosus. Cathet Cardiovasc Diagn 1996; 39: 287–290.Google Scholar
Krichenko A, Benson LN, Burrows P, Möes CAF, McLaughlin P, Freedom RM. Angiographic classification of the isolated, persistently patent ductus arteriosus and implications for percutaneous catheter occlusion. Am J Cardiol 1989; 63: 877–880.Google Scholar
Chisholm JC, Salmon AP, Keeton BR, Webber SA, Monro JL. Persistent hemolysis after transcatheter occlusion of a patent ductus arteriosus: surgical ligation of the duct over the occlusion device. Pediatr Cardiol 1995; 16: 194–196.Google Scholar