Surgical closure of adult patent ductus arteriosus using a pursestring suture.
A 52-year-old woman with patent ductus arteriosus underwent transpulmonary surgical closure through a median sternotomy. The procedure was performed under cardiopulmonary bypass with normothermia and a beating heart, using transductal balloon occlusion and a pursestring suture around the orifice of the ductus. The use of a pursestring suture allowed minimization of the risk of balloon breakage, obviated the need for profound hypothermia and circulatory arrest, and greatly increased the technical facility of the procedure.
Inaba
Hirotaka
H
Department of Cardiac Surgery, Asahi General Hospital, I-1326 Asahi-shi, Chiba 289-2511, Japan. hinaba-circ@umin.ac.jp
Higuchi
Kazuhiko
K
Koseni
Kenji
K
Osawa
Hiroshi
H
Kinoshita
Osamu
O
D021721:Balloon Occlusion; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D004374:Ductus Arteriosus, Patent / Q000473:pathology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011651:Pulmonary Artery / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D011652:Pulmonary Circulation; D012039:Regional Blood Flow; D013249:Sternum / Q000601:surgery; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome