Coil Occlusion of Elderly Ductus Arteriosus.
Surgical management of patent ductus arteriosus (PDA) in the elderly population is complicated by a fragile aortic wall due to atheromatous lesions, the presence of friable tissue at the surgical site, and calcification of the ductus. A viable option for the elderly patient is transcatheter closure of the PDA using a synthetic plug. Transcatheter coil occlusion has been shown to be an effective nonsurgical technique for closure of the persistently PDA in a younger population. We report a case of a 75 year old woman who had complete occlusion of her PDA with a single Gianturco coil after recurrence of her ductus 3 years post surgical ligation. The successful transcatheter treatment is presented with emphasis on the simple and safe technique utilized. (c)1999 by CVRR, Inc.
Mesia
C. Igor
CI
Division of Pediatric Cardiology and The Medical College of Virginia and Virginia Commonwealth University, Richmond, VA.
Moskowitz
William B.
WB