title: [Right patent ductus arteriosus with an ipsilateral aortic arch: percutaneous closure with amplatzer devices].
abstract: The association of a right aortic arch with an ipsilateral patent ductus arteriosus is rare, especially when there are no other intracardiac anomalies. We report three female patients aged 26, 35 and 9 years with this combination in whom previous attempts at surgical closure by thoracotomy and sternotomy were unsuccessful and who subsequently underwent successful percutaneous closure of the defects using Amplatzer devices. In two patients, although angiography demonstrated the presence of type-A patent ductus arteriosus, it was not possible to determine the minimum diameter accurately and it was necessary to measure it using a sizing balloon. An Amplatzer duct occluder was used in two patients and an Amplatzer muscular ventricular septal defect occluder, in the other. In all patients, full closure was confirmed in the catheterization laboratory and the patients were discharged on the same day with no complications. Percutaneous closure of a right patent ductus arteriosus associated with a right aortic arch is feasible, safe and effective.
authors: Servicio Médico de Intervenciones en Cardiopatías Congénitas, Instituto Dante Pazzanese de Cardiología, São Paulo, SP, Brasil.
authors: Justo
authors: J
authors: Santiago
authors: Manuel
authors: M
authors: Acuña
authors: Elizabeth
authors: E
authors: Arispe
authors: Ronaldo
authors: R
authors: Camargo
authors: Juliana
authors: J
authors: Neves
authors: Daniel
authors: D
authors: Arnoni
authors: Valmir F
authors: VF
authors: Fontes
authors: Carlos A
authors: CA
authors: Pedra
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D002648:Child; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006801:Humans; D019736:Prostheses and Implants