Simultaneous mitral valve replacement and ligation of persistent ductus arteriosus; a case report.
The successful simultaneous closure of a persistent ductus arteriosus and mitral valve replacement in a 65-year-old woman with pulmonary hypertension is reported. The approach through a left thoracotomy gave good exposure and momentary cessation of cardiopulmonary bypass made ligation of the calcified ductus possible. Although this seems to be a rare association, when mitral valve disease is significant the simultaneous closure of the duct and mitral valve surgery is the treatment of choice.
D000368:Aged; D001794:Blood Pressure; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D002932:Cineangiography; D004077:Digoxin / Q000627:therapeutic use; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006339:Heart Rate; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008026:Ligation; D008722:Methods; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D011217:Practolol / Q000627:therapeutic use
D004077:Digoxin; D011217:Practolol