[Endoluminal occlusion, using a catheter, of patent ductus arteriosus in an adult].
The risk of surgical closure of the ductus arteriosus in the adult is greater than in children. The ductus arteriosus can now be occluded by venous catheterisation using a Rashkind umbrella. This procedure vas performed in a 63 year old woman. The diagnosis was confirmed and the anatomy of the lesion defined by catheterisation with aortography. The patent ductus was then occluded with a balloon catheter to assess the reversibility of the pulmonary hypertension. A 17 mm Rashkind umbrella was then used to completely occlude the ductus. The advantages of the method over surgical closure are: absence of morbidity related to thoracotomy, to general anaesthesia, to blood transfusion and the reduction of hospital stay to 3 days.
Leriche
H
H
Service de chirurgie cardiaque, hôpital Marie-Lannelongue, universitéParis-Sud, Le Plessis-Robinson.
Losay
J
J
Piot
C
C
Neveux
J Y
JY
D006328:Cardiac Catheterization / Q000379:methods*; D002408:Catheters, Indwelling; D004374:Ductus Arteriosus, Patent / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015642:Radiology, Interventional