Relief of factitious coarctation following occlusion of large patent ductus arteriosus with Gianturco-Grifka vascular occluder.
We report an infant with a large patent ductus arteriosus (PDA) and a hypoplastic aortic isthmus presenting with factitious coarctation due to high ductal flow. Following transcatheter occlusion of the PDA with a Gianturco-Grifka vascular occluder, the aortic gradient resolved, thereby eliminating the need for surgery on the isthmus.
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Department of Pediatric Cardiology, Baylor College of Medicine, Texas Children's Hospital, Houston, USA.
Mullins
C E
CE
Wolfe
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SB
Grifka
R G
RG
D001011:Aorta / Q000473:pathology*; D001794:Blood Pressure; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D012039:Regional Blood Flow