Abstract
Patent ductus arteriosus in adults is rare condition. Surgical repair of adult patent ductus arteriosus carries a high risk of complications due to frequent presence of calcification. A 77-year-old woman with severe aortic stenosis was referred to our hospital. Cardiac catheterization revealed right coronary artery stenosis. Aortogram showed a left-to-right shunt. Computed tomography demonstrated the presence of patent ductus arteriosus, with calcification of the aortic side. The patient underwent transcatheter closure of the patent ductus arteriosus, in order to decrease the risk of cardiac surgery. Subsequently, aortic valve replacement and coronary artery bypass grafting were performed and the patient’s postoperative course was uneventful. This operative strategy for severe aortic stenosis and calcified patent ductus arteriosus was a safe and effective method for an aged patient.
Similar content being viewed by others
References
Campbell M. Natural history of persistant ductus arteriosus. Brit Heart J. 1968;30:4–13.
Toda R, Moriyama Y, Yamashita M, Iguro Y, Matsumoto H, Yotsumoto G. Operation for adult patent ductus arteriosus using cardiopulmonary bypass. Ann Thorac Surg. 2000;70:1935–8.
Glower DD, Bashore TM, Spritzer CE. Congenital aortic stenosis and patent ductus arteriosus in the adult. Ann Thorac Surg. 1992;54:368–70.
Akagi T. Catheter intervention for adult patients with congenital heart disease. J Cardiol. 2012;60:151–9.
Al-Hamash SM, Wahab HA, Khalid ZH, Nasser IV. Transcatheter closure of patent ductus arteriosus using ADO device: retrospective study of 149 patients. Heart Views. 2012;13:1–6.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
This study was not funded by any agency or institution.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from the patient included in this study.
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Motomatsu, Y., Imasaka, Ki., Tayama, E. et al. Severe aortic stenosis and patent ductus arteriosus in an aged patient. Indian J Thorac Cardiovasc Surg 33, 273–275 (2017). https://doi.org/10.1007/s12055-017-0502-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12055-017-0502-5