[Late reopening of patent ductus arteriosus after complete closure with the Rashkind prosthesis. Possible traumatic origin].
We report the case of a symptomatic adult with an occluded persistent duct with a transcatheter proceeding using a Rashkind prosthesis. After a month of follow up the color-coded Doppler-flow echocardiogram did not show residual shunt, posteriorly the patient's symptoms disappeared and the left ventricular dimensions were reduced. At the thirteen month of follow-up, the patient had an accident while working, falling down from a scaffold. Afterwards, a ductal jet was observed in the echocardiogram with an increased size of the left ventricle, symptoms also appeared. A cardiac catheterism was then performed showing a pulmonary/systemic flow rate of 2 and a 3 mm flow jet at the superior border of the prosthesis. A second prosthesis was implanted with no residual shunts.
Alcibar
J
J
Servicio de Cardiología, Hospital de Cruces, Vizcaya.
Gochi
R
R
Oñate
A
A
Barrenetxea
J I
JI
Ramón Rumoroso
J
J
Salazar
H
H
Jiménez
A
A
Rodrigo
D
D
González-Liébana
J
J
Peña
N
N
Cembellín
J C
JC
D000058:Accidental Falls; D001027:Aortography; D006328:Cardiac Catheterization; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D019736:Prostheses and Implants; D013997:Time Factors
Reapertura tardía del conducto arterioso tras cierre completo con la prótesis de Rashkind. Posible origen traumático.