| Transcatheter coil embolization for patent ductus arteriosus in the elderly: report of a case and review of the published work. | |
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MedLine Citation:
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PMID: 19702946 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patent ductus arteriosus is the third most common congenital cardiovascular anomaly, however, it is rarely found in the elderly. We describe a case of patent ductus arteriosus in a 72-year-old woman in whom patent ductus arteriosus was successfully managed by transcatheter coil embolization. The patient had been diagnosed with a heart murmur for the first time 1 year earlier at the age of 71. She was asymptomatic but a continuous murmur was heard. Cardiac catheterization revealed migration of a catheter from the main pulmonary artery into the descending aorta through a patent ductus arteriosus and a significant step-up of oxygen saturation in the main pulmonary artery with a pulmonary-to-systemic flow ratio of 1.68. Aortograms demonstrated a communication between the aorta and the pulmonary artery through a patent ductus arteriosus with a minimal diameter of 3.7 mm. Transcatheter coil embolization of the patent ductus arteriosus was successfully carried out with two 0.052-inch-diameter Gianturco coils. Doppler echocardiographic study confirmed no residual shunt in the main pulmonary artery after the procedure. Non-surgical transcatheter occlusion using coil embolization appears to be an effective and minimally invasive technique for treatment of patent ductus arteriosus in the elderly. |
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Authors:
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Shigeaki Aoyagi; Shingo Chihara; Shuji Fukunaga; Ryusuke Mori; Kenji Suda |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Geriatrics & gerontology international Volume: 9 ISSN: 1447-0594 ISO Abbreviation: Geriatr Gerontol Int Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-25 Completed Date: 2010-01-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101135738 Medline TA: Geriatr Gerontol Int Country: Japan |
Other Details:
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Languages: eng Pagination: 329-32 Citation Subset: IM |
Affiliation:
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Department of Surgery, Kurume University School of Medicine, Kurume, Japan. aoyagi@med.kurume-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Ductus Arteriosus, Patent / therapy*, ultrasonography* Echocardiography, Doppler Embolization, Therapeutic* Female Heart Catheterization* Humans |
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