Surgical ligation of a residually patent arterial duct following failed occlusion using transcatheter coils.
Transcatheter techniques for occlusion of the persistently patent arterial duct using coils have become standard therapy at many centers for pediatric cardiology, and in selected patients have demonstrated comparable efficacy to surgical ligation. Surgical ligation may still be required in many cases, including premature infants or those born with low weight, those with ducts of large diameter, those with associated structural heart disease, and in circumstances of unsuccessful occlusion subsequent to attempted closure using coils. We report on the successful surgical ligation of an arterial duct of moderate size that exhibited residual patency despite two separate attempts at occlusion using coils.
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. dewheeler@mcg.edu
Derek S
DS
Wheeler
James Matthew
JM
Maxwell
W Bradley
WB
Poss
D006328:Cardiac Catheterization; D002675:Child, Preschool; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D008026:Ligation; D008297:Male; D017211:Treatment Failure