Successful Transcatheter Closure of a Web-Shaped Patent Ductus Arteriosus Using Amplatzer Duct Occluder via Retrograde Wire-Assisted Approach.
- Author:
Jeong Hoon KIM
1
;
Mi Jeong KIM
;
Yun Jeong KIM
;
In Hyun JUNG
;
Jon SUH
;
Sang Hyun KIM
;
Jong Min SONG
;
Duk Hyun KANG
;
Myeong Ki HONG
;
Jae Kwan SONG
Author Information
1. Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jksong@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Ductus arteriosus;
Patent;
Transcatheter closure
- MeSH:
Adult;
Cardiology;
Ductus Arteriosus;
Ductus Arteriosus, Patent*;
Echocardiography, Transesophageal;
Endocarditis;
Heart Defects, Congenital;
Humans;
Middle Aged
- From:Journal of Cardiovascular Ultrasound
2007;15(4):127-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Patent ductus arteriosus (PDA) is a congenital heart disease occasionally encountered in adult cardiology, which can potentially be complicated by endocarditis or progressive left ventricular (LV) volume overload. Although transcatheter device closure has become a standard treatment in most cases, it can sometimes be challenged by anatomical variation of PDA. We report a case of 53-year-old man with PDA which was successfully treated by percutaneous closure, which had failed 12 years ago because of guidewire passage failure. Transesophageal echocardiography played an important role to give precise anatomical information and enable us to apply an alternative retrograde approach. Closure of PDA resulted in the resolution of symptom and decrease in LV size and volume.
