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KMID : 0390620070150040127
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Journal of Cardiovascular Ultrasound
2007 Volume.15 No. 4 p.127 ~ p.130
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Successful Transcatheter Closure of a Web-Shaped Patent Ductus Arteriosus Using Amplatzer Duct Occluder via Retrograde Wire-Assisted Approach
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Kim Jeong-Hoon
Kim Mee-Jeong
Kim Yun-Jeong
Jung In-Hyun
Suh Jon
Kim Sang-Hyun
Song Jong-Min
Kang Duk-Hyun
Hong Myeong-Ki
Song Jae-Kwan
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Abstract
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Patent ductus arteriosus (PDA) is a congenital heart disease occasionally encountered in adult cardiology, which can
potentially be complicated by endocarditis or progressive left ventricular (LV) volume overload. Although transcatheter
device closure has become a standard treatment in most cases, it can sometimes be challenged by anatomical variation of
PDA. We report a case of 53-year-old man with PDA which was successfully treated by percutaneous closure, which had
failed 12 years ago because of guidewire passage failure. Transesophageal echocardiography played an important role to
give precise anatomical information and enable us to apply an alternative retrograde approach. Closure of PDA resulted
in the resolution of symptom and decrease in LV size and volume.
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KEYWORD
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Ductus arteriosus, Patent, Transcatheter closure.
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