title: [Endoluminal occlusion, using a catheter, of patent ductus arteriosus in an adult].
abstract: 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.
authors.affiliation: Service de chirurgie cardiaque, hôpital Marie-Lannelongue, universitéParis-Sud, Le Plessis-Robinson.
authors.forename: H
authors.initials: H
authors.lastname: Leriche
authors.forename: J
authors.initials: J
authors.lastname: Losay
authors.forename: C
authors.initials: C
authors.lastname: Piot
authors.forename: J Y
authors.initials: JY
authors.lastname: Neveux
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D002408:Catheters, Indwelling; D004374:Ductus Arteriosus, Patent / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015642:Radiology, Interventional