Treatment paradigms for ductus arteriosus aneurysms in adults

We report two symptomatic cases of ductus arteriosus aneurysm (DDA) in adults treated in our department over a 5-years period. One patient underwent an open off-pump surgical procedure, while the second one was treated with partial aortic arch debranching and endovascular stent-grafting. DDA in adul...

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Bibliographic Details
Published in:Vascular 2014-08, Vol.22 (4), p.297-301
Main Authors: Psathas, Emmanouil D, Katsargyris, Athanasios, Lioudaki, Stella, Moris, Demetrios N, Doulaptsis, Mikes, Klonaris, Chris
Format: Article
Language:English
Subjects:
Aged
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - diagnosis
Aortic Aneurysm, Thoracic - surgery
Aortography - methods
Blood Vessel Prosthesis Implantation
Ductus Arteriosus - diagnostic imaging
Ductus Arteriosus - surgery
Endovascular Procedures
Fatal Outcome
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Treatment Outcome
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Summary:We report two symptomatic cases of ductus arteriosus aneurysm (DDA) in adults treated in our department over a 5-years period. One patient underwent an open off-pump surgical procedure, while the second one was treated with partial aortic arch debranching and endovascular stent-grafting. DDA in adults is an uncommon condition and can present with rupture, hoarseness or symptoms of airway obstruction. Although indications for intervention are not clearly established, most authors advocate that DDAs should be treated regardless of their size, to avoid the risk of rupture, while others reserve intervention for symptomatic patients. We report on the management of these patients and provide an updated review of the current literature.
ISSN:1708-5381
1708-539X
DOI:10.1177/1708538113495680