title: -Surgical occlusion of persistent ductus arteriosus in advanced age--determining indications based on 3 case reports-.
abstract: We present three cases of a surgical approach to close a patent ductus arteriosus in the elderly. In each case a transcatheter closure was not indicated for different reasons: Patient No. 1 had an extremely calcified aortic arch; Patient No. 2 was operated on under the erroneous diagnosis of an aortopulmonary window; Patient No. 3 concomitantly suffered a high-grade valvular aortic stenosis. The patent ductus arteriosus was closed transpulmonally via a median sternotomy under the conditions of extracorporal circulation in each of the three patients. Patient No. 3 additionally underwent an aortic valve replacement. We discuss the differential indications for a surgical closure of a patent ductus arteriosus in the elderly.
authors.affiliation: Klinik für Thorax- und Kardiovaskular-chirurgie, Herzzentrum Kaiser-Wilhelm-Krankenhaus Duisburg.
authors.forename: M
authors.initials: M
authors.lastname: Frenken
authors.forename: A
authors.initials: A
authors.lastname: Krian
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011379:Prognosis; D013908:Thoracotomy; D016896:Treatment Outcome
vernacular_title: Operativer Verschluss des persistierenden Ductus arteriosus im höheren Lebensalter--Indikationsstellung anhand von 3 Fallbeispielen.