Document Detail

Transcatheter coil embolization for patent ductus arteriosus in the elderly: report of a case and review of the published work.
MedLine Citation:
PMID:  19702946     Owner:  NLM     Status:  MEDLINE    
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.
Shigeaki Aoyagi; Shingo Chihara; Shuji Fukunaga; Ryusuke Mori; Kenji Suda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Geriatrics & gerontology international     Volume:  9     ISSN:  1447-0594     ISO Abbreviation:  Geriatr Gerontol Int     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-25     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101135738     Medline TA:  Geriatr Gerontol Int     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  329-32     Citation Subset:  IM    
Department of Surgery, Kurume University School of Medicine, Kurume, Japan.
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MeSH Terms
Ductus Arteriosus, Patent / therapy*,  ultrasonography*
Echocardiography, Doppler
Embolization, Therapeutic*
Heart Catheterization*

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