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Trans-catheter closure of large PDA in adult patients with Amplatzer device: case series

Part of: Interventional Cardiology

Published online by Cambridge University Press:  08 July 2021

Zahra Khajali ,
Ata Firouzi ,
Homa Ghaderian Open the ORCID record for Homa Ghaderian [Opens in a new window]  and
Maryam Aliramezany Open the ORCID record for Maryam Aliramezany [Opens in a new window]
Zahra Khajali
Affiliation:
Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
Ata Firouzi
Affiliation:
Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
Homa Ghaderian
Affiliation:
Tehran Heart Research Center, Tehran University of Medical Sciences, Tehran, Iran
Maryam Aliramezany*
Affiliation:
Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
*
Author for correspondence: Maryam Aliramezany, Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran. Tel: +983433224848; Fax: +983431325221. E-mail: maliramezany@yahoo.com
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Abstract

Ductus arteriosus is a physiological structure if not closed after birth, may lead to many complications. Today, trans-catheter closure of patent ductus arteriosus with Occluder devices is the preferred method. Surgical ligation is used only in certain cases such as large symptomatic patent ductus arteriosus in very small infants and premature babies; unfavourable structure of the duct or economic considerations. In this article, we described haemodynamic and morphological characteristics of five patients with large patent ductus arteriosus which were occluded with Amplatzer device.

From 23 January, 2010 to 31 July, 2018, five patients referred to our clinic with large patent ductus arteriosus and pulmonary arterial hypertension for further evaluation. After assessing them with various diagnostic methods, we decided to close defect with ventricular septal defect Occluder device. Patients aged 21–44 years and one of them was male. Ductus closure was successfully done with ventricular septal defect Occluder device. Closure was successful for all of them but in one case, whose device was embolized to pulmonary artery after 24 hr and he underwent surgery.

Trans-catheter closure of large patent ductus arteriosus in adult patients with pulmonary hypertension is feasible. Despite the fact that complications may occur even with the most experienced hands, the ‘double disk’ Amplatzer ventricular septal defect muscular Occluder could be advantageous in this setting.

Keywords

patent ductus arteriosuscongenital heart diseasetrans-catheter
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 1 , January 2022 , pp. 161 - 164
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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