title: [Late reopening of patent ductus arteriosus after complete closure with the Rashkind prosthesis. Possible traumatic origin].
abstract: 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.
authors.affiliation: Servicio de Cardiología, Hospital de Cruces, Vizcaya.
authors.forename: J
authors.initials: J
authors.lastname: Alcibar
authors.forename: R
authors.initials: R
authors.lastname: Gochi
authors.forename: A
authors.initials: A
authors.lastname: Oñate
authors.forename: J I
authors.initials: JI
authors.lastname: Barrenetxea
authors.forename: J
authors.initials: J
authors.lastname: Ramón Rumoroso
authors.forename: H
authors.initials: H
authors.lastname: Salazar
authors.forename: A
authors.initials: A
authors.lastname: Jiménez
authors.forename: D
authors.initials: D
authors.lastname: Rodrigo
authors.forename: J
authors.initials: J
authors.lastname: González-Liébana
authors.forename: N
authors.initials: N
authors.lastname: Peña
authors.forename: J C
authors.initials: JC
authors.lastname: Cembellín
mesh_terms: 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
vernacular_title: Reapertura tardía del conducto arterioso tras cierre completo con la prótesis de Rashkind. Posible origen traumático.