title: Open stent-grafting for adult patent ductus arteriosus with a distal aortic arch aneurysm.
abstract: Closure of adult patent ductus arteriosus (PDA) is difficult for its variation. We report a case of open stent-grafting for a 67-year-old woman who had PDA and a concomitant distal aortic arch aneurysm. The pulmonary/systemic flow ratio was 1.88, and the pulmonary arterial pressure was 34/21(25). The operation was done through a median sternotomy under hypothermic cardioplegic arrest. We opened the anterior wall of the arch just distal to the left subclavian artery and placed a stent-graft into the descending aorta. At 5 months after discharge, three-dimensional computed tomography showed disappearance of PDA and no endoleak of the stent-graft.
authors.affiliation: Department of Abdominal Surgery, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan. zuozuomumien@hotmail.com
authors.forename: Ben
authors.initials: B
authors.lastname: Sasaki
authors.forename: Kazuteru
authors.initials: K
authors.lastname: Shimizu
authors.forename: Nobuhisa
authors.initials: N
authors.lastname: Ohno
authors.forename: Kazuya
authors.initials: K
authors.lastname: Tsukuda
authors.forename: Keiichi
authors.initials: K
authors.lastname: Fujiwara
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000453:epidemiology*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D015897:Comorbidity; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D015607:Stents; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed