title: Transcatheter closure of a 22 mm patent ductus arteriosus with an Amplatzer atrial septal occluder.
abstract: Transcatheter techniques for closure of patent ductus arteriosus (PDA) have been used for almost 40 years. We report a case of a 24-year-old female with a 22 mm PDA, congestive heart failure, and atrial fibrillation. She underwent transcatheter PDA closure with an Amplatzer atrial septal occluder (ASO). Following the procedure, she developed hemolysis due to a large residual shunt. However, the shunt gradually resolved until complete closure was achieved within 8 months. An attempt to restore sinus rhythm with electrical cardioversion was successful and the patient is now, 2 years after procedure, in New York Heart Association functional class I. Off-label use of an ASO for closure of a very large PDA yielded an excellent clinical result.
authors.affiliation: Section of Cardiology, Rush University Medical Center, Chicago, Illinois, USA.
authors.forename: Christian
authors.initials: C
authors.lastname: Spies
authors.forename: Franz
authors.initials: F
authors.lastname: Ujivari
authors.forename: Rainer
authors.initials: R
authors.lastname: Schräder
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000295:instrumentation*; D002404:Catheterization / Q000295:instrumentation*; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006346:Heart Septum; D006801:Humans