title: Surgical closure of adult patent ductus arteriosus using a pursestring suture.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Asahi General Hospital, I-1326 Asahi-shi, Chiba 289-2511, Japan. hinaba-circ@umin.ac.jp
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Inaba
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Higuchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Koseni
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Osawa
authors.forename: Osamu
authors.initials: O
authors.lastname: Kinoshita
mesh_terms: 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