title: Endovascular stent-graft exclusion of adult giant patent ductus arteriosus through a hybrid transabdominal approach.
abstract: Endovascular stent-graft exclusion has proven to be a safe and effective alternative for adult patients with patent ductus arteriosus. We present a case of a 38-year-old woman with a large, symptomatic ductus. However, her small femoral and iliac arteries limited the access options. The patient underwent laparotomy and end-to-side anastomosis of a Dacron graft to the abdominal aorta. Then, the laparotomy was temporarily closed with the graft externalized, and the patient was transported to the radiology suite for successful stent-graft deployment. This hybrid transabdominal approach may be preferred in patients without suitable peripheral arteries to accommodate the device.
authors: Department of Cardiothoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
authors: Fu-Wei
authors: FW
authors: Zhang
authors: Hui
authors: H
authors: Li
authors: Jian
authors: J
authors: Tong
authors: Feng-Xian
authors: FX
authors: Li
authors: Shao-Ru
authors: SR
authors: Cai
mesh_terms: D000005:Abdomen; D000328:Adult; D001012:Aorta, Abdominal / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D004374:Ductus Arteriosus, Patent / Q000473:pathology / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D015607:Stents