Thoracic endovascular aortic repair for patent ductus arteriosus in an elderly patient with congestive heart failure

In elderly patients, open surgery for patent ductus arteriosus (PDA) is more difficult than that in children and often requires a cardiopulmonary bypass. We report the case of a 67-year-old patient with a PDA that was successfully treated with thoracic endovascular aortic repair (TEVAR). The patient...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2016-05, Vol.64 (5), p.280-282
Main Authors: Kato, Gentaro, Nakai, Mikizo, Tokunaga, Noriyuki, Shimizu, Shuji, Okada, Masahiro
Format: Article
Language:English
Subjects:
Aged
Aneurysms
Calcification
Cardiac catheterization
Cardiac Surgery
Cardiology
Cardiopulmonary Bypass
Case Report
Catheters
Conflicts of interest
Congenital diseases
Coronary vessels
Ductus Arteriosus, Patent - diagnostic imaging
Ductus Arteriosus, Patent - surgery
Echocardiography
Embolization, Therapeutic
Endovascular Procedures
Female
Heart Failure
Humans
Intubation
Medicine
Medicine & Public Health
Patients
Pulmonary arteries
Surgery
Surgical Oncology
Thoracic Surgery
Thoracotomy
Tomography
Veins & arteries
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Summary:In elderly patients, open surgery for patent ductus arteriosus (PDA) is more difficult than that in children and often requires a cardiopulmonary bypass. We report the case of a 67-year-old patient with a PDA that was successfully treated with thoracic endovascular aortic repair (TEVAR). The patient was diagnosed with congestive heart failure (ejection fraction, 36 %) and PDA (9.7 mm in diameter). TEVAR was successfully performed to exclude the PDA. After TEVAR, the patient’s heart failure was well controlled by diuretics. TEVAR may be a good alternative to open surgery.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-014-0457-z