Use of a Stent Graft for Patent Ductus Arteriosus in an Octogenarian Eliminates Ductus Flow.
Closure of a patent ductus arteriosus (PDA) in the elderly is a high-risk procedure because of tissue fragility and many possible complications. The patient in our case was an 81-year-old woman with a window-type PDA caused by cardiac failure. Based on the anatomy of the PDA and aorta and to minimize invasion, we used a stent graft to close the PDA. This approach was successful; hemodynamics improved and ductus flow was eliminated during the follow-up period without intervention from the pulmonary artery side.
Department of Cardiovascular Surgery, Tokyo Women's Medical University, Medical Center East, Tokyo, Japan.
Wataru
W
Tatsuishi
Go
G
Kataoka
Ryota
R
Asano
Atsuhiko
A
Sato
Kiyoharu
K
Nakano
D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D003326:Coronary Circulation; D004373:Ductus Arteriosus / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D015607:Stents; D016896:Treatment Outcome