Treatment paradigms for ductus arteriosus aneurysms in adults.
We report two symptomatic cases of ductus arteriosus aneurysm (DDA) in adults treated in our department over a 5-years period. One patient underwent an open off-pump surgical procedure, while the second one was treated with partial aortic arch debranching and endovascular stent-grafting. DDA in adults is an uncommon condition and can present with rupture, hoarseness or symptoms of airway obstruction. Although indications for intervention are not clearly established, most authors advocate that DDAs should be treated regardless of their size, to avoid the risk of rupture, while others reserve intervention for symptomatic patients. We report on the management of these patients and provide an updated review of the current literature.
University of Athens Medical School, Second Department of Propaedeutic Surgery, Laikon General Hospital, Athens, Greece epsath@gmail.com.
Emmanouil D
ED
Psathas
University of Athens Medical School, Second Department of Propaedeutic Surgery, Laikon General Hospital, Athens, Greece.
Athanasios
A
Katsargyris
University of Athens Medical School, Second Department of Propaedeutic Surgery, Laikon General Hospital, Athens, Greece.
Stella
S
Lioudaki
University of Athens Medical School, Second Department of Propaedeutic Surgery, Laikon General Hospital, Athens, Greece.
Demetrios N
DN
Moris
University of Athens Medical School, Second Department of Propaedeutic Surgery, Laikon General Hospital, Athens, Greece.
Mikes
M
Doulaptsis
University of Athens Medical School, Second Department of Propaedeutic Surgery, Laikon General Hospital, Athens, Greece.
Chris
C
Klonaris
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D004373:Ductus Arteriosus / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Ductus arteriosus aneurysm; Ortner syndrome; aortic surgery; hoarseness; hybrid arch repair; triple-star sign