| Device closure of patent ductus arteriosus in Marfan patients: safety and effect on the aortic root diameter. | |
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MedLine Citation:
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PMID: 21087429 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: There is little evidence in the medical literature about safety of PDA device closure and its effects on aortic root diameter in Marfan patients. We reported on nine Marfan patients whose ducts were occluded by coil or Amplatzer Duct Occluder. PATIENTS AND INTERVENTIONS: Two patients had aneurismal type E ducts which were closed by a single coil, respectively. The others had conical ducts for which even Amplatzer occluder, stiff, or double coils were used. RESULTS: No untoward consequence was found during a median follow up period of 18.5 months (range 3 months to 6.33 years). Two patients had small residual shunts. The observed change in the mean ratio of aortic root diameter to its estimated value was statistically insignificant in seven patients who had complete data on their aortic root diameter before PDA closure and during the follow up. CONCLUSIONS: We concluded that PDA device closure in Marfan patients is safe. Risk of residual shunt is higher even after closure of small ducts. |
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Authors:
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Keyhan S Zanjani; Abdul Rahim Wong; Masood Sadiq; Howard S Weber; Nancy G Cutler |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: Congenital heart disease Volume: 5 ISSN: 1747-0803 ISO Abbreviation: Congenit Heart Dis Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-11-22 Completed Date: 2011-03-04 Revised Date: 2011-05-05 |
Medline Journal Info:
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Nlm Unique ID: 101256510 Medline TA: Congenit Heart Dis Country: United States |
Other Details:
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Languages: eng Pagination: 439-43 Citation Subset: IM |
Affiliation:
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Division of Pediatric Cardiology, Pediatric Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Ductus Arteriosus, Patent / complications, therapy*, ultrasonography Female Heart Catheterization / adverse effects, instrumentation* Humans Infant Iran Malaysia Male Marfan Syndrome / complications*, ultrasonography Pakistan Prosthesis Design Risk Assessment Septal Occluder Device* Sinus of Valsalva / ultrasonography* Time Factors Treatment Outcome United States Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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