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JAMA Pediatrics Dec 2015
Topics: Ductus Arteriosus, Patent; Humans
PubMed: 26642113
DOI: 10.1001/jamapediatrics.2015.2789 -
Interactive Cardiovascular and Thoracic... Nov 2022Congenital aortocaval fistula (ACF) is a rare cardiac malformation. While it can occur in combination with patent ductus arteriosus (PDA), this has not been reported. In...
Congenital aortocaval fistula (ACF) is a rare cardiac malformation. While it can occur in combination with patent ductus arteriosus (PDA), this has not been reported. In this case, a 1-year-old infant had a heart murmur found in a routine physical examination, and PDA was revealed by transthoracic echocardiography and abdominal ACF was detected by three-dimensional coronary artery computed tomography. Percutaneous interventional therapy, used for ACF and PDA, was performed to occlude the malformation. The patient presented good health without any discomfort at a 1-year follow-up. The percutaneous closure of ACF and PDA with an Amplatzer vascular device can be considered an appropriate option.
Topics: Infant; Humans; Ductus Arteriosus, Patent; Echocardiography; Cardiac Catheterization; Septal Occluder Device; Treatment Outcome
PubMed: 36308451
DOI: 10.1093/icvts/ivac260 -
Early Human Development Mar 2009Management of patent ductus arteriosus (PDA) in premature neonates has always been a challenge to the neonatologist and continues to be a controversial topic....
Management of patent ductus arteriosus (PDA) in premature neonates has always been a challenge to the neonatologist and continues to be a controversial topic. Indications for treatment are not clear. Approximately 40% of ductus arteriosus close spontaneously even in extremely-low-birth-weight neonates. Prophylactic or early pre-symptomatic treatment may unnecessarily expose these babies, in whom the ductus might close spontaneously, to pharmacologic agents and their adverse effects. On the other hand, with advancing postnatal age, delaying treatment could potentially decrease successful medical closure thereby increasing the rate of surgical ligation and the complications associated with surgery. We tried to develop some clinical guidelines for management of PDA in premature neonates based on evidence, or lack thereof, and experience.
Topics: Ductus Arteriosus, Patent; Humans; Infant, Extremely Low Birth Weight; Infant, Newborn; Practice Guidelines as Topic
PubMed: 19217726
DOI: 10.1016/j.earlhumdev.2008.12.007 -
Congenital Heart Disease Jan 2019Regulation of the ductus arteriosus, an essential fetal vessel connecting the pulmonary artery and aorta, is complex. Failure of this vessel to close after birth may... (Review)
Review
Regulation of the ductus arteriosus, an essential fetal vessel connecting the pulmonary artery and aorta, is complex. Failure of this vessel to close after birth may result in a persistent left-to-right shunt through the patent ductus arteriosus, a condition associated with significant morbidities. Numerous factors contribute to the shift from fetal ductus patency to postnatal closure, requiring precise coordination of molecular cues with biomechanical forces and underlying genetic influences. Despite significant advances, questions remain regarding signaling dynamics and the natural time course of ductus closure, particularly in preterm neonates. This review highlights the contributions of early investigators and more recent clinician scientists to our understanding of the molecular and mechanical factors that mediate ductus patency and closure.
Topics: Cardiac Surgical Procedures; Ductus Arteriosus; Ductus Arteriosus, Patent; Hemodynamics; Humans; Infant, Newborn; Oxidative Stress
PubMed: 30468303
DOI: 10.1111/chd.12714 -
Journal of the American Veterinary... Sep 1967
Topics: Animals; Dog Diseases; Dogs; Ductus Arteriosus, Patent; Electrocardiography; Female; Male; Phonocardiography
PubMed: 6069491
DOI: No ID Found -
Journal of Veterinary Cardiology : the... Dec 2022Two Pomeranian dogs referred for interventional correction of a left-to-right shunting patent ductus arteriosus (PDA) had inadequate femoral arterial access for any...
Two Pomeranian dogs referred for interventional correction of a left-to-right shunting patent ductus arteriosus (PDA) had inadequate femoral arterial access for any occlusion device other than micro coils. The decision was made to attempt correction of the PDA using the Amplatzer™ Vascular Plug 4 (AVP4) from a femoral venous approach. An AVP4 was successfully deployed in each dog with complete occlusion noted within 5 min. Complete occlusion was persistent at 24 h after the procedure, while both dogs were subclinical, had no residual ductal flow, and complete or near complete reverse cardiac remodeling at subsequent visits. This report demonstrates the feasibility of PDA occlusion with the AVP4 from the femoral venous approach in small dogs where femoral arterial access is inadequate for other occlusion devices.
Topics: Dogs; Animals; Ductus Arteriosus, Patent; Embolization, Therapeutic; Treatment Outcome; Dog Diseases; Cardiac Catheterization
PubMed: 36242857
DOI: 10.1016/j.jvc.2022.08.005 -
Jornal de Pediatria 2005
Topics: Ductus Arteriosus, Patent; Humans; Infant, Newborn; Infant, Premature
PubMed: 16385357
DOI: 10.2223/JPED.1415 -
Circulation. Cardiovascular... Jun 2021
Topics: Ductus Arteriosus, Patent; Echocardiography; Humans; Infant
PubMed: 34092088
DOI: 10.1161/CIRCINTERVENTIONS.121.010600 -
Journal of the American College of... Mar 1994This report summarizes our experience with the use of occluding spring coils to close the small patent ductus arteriosus.
OBJECTIVES
This report summarizes our experience with the use of occluding spring coils to close the small patent ductus arteriosus.
BACKGROUND
Several patent ductus arteriosus occluders (most notably the Rashkind device) have been developed and studied. Occluding spring coils have been used to close abnormal vessels and vascular connections. We previously reported the use of occluding spring coils to close the small patent ductus arteriosus in a small group of patients. This report describes our series of patients having patent ductus arteriosus closure with occluding spring coils.
METHODS
Between June 1990 and June 1993, 30 patients underwent cardiac catheterization to have patent ductus arteriosus closure by occluding spring coils. Selection criteria were age > 6 months and narrowest patent ductus arteriosus internal dimension < or = 3.0 mm by color flow imaging. Definitive selection was based on review of aortograms performed at catheterization. A 5.2F coronary catheter was used to deliver one or two standard occluding spring coils. A loop was delivered in the main pulmonary artery, and the remainder of the coil was delivered across the patent ductus arteriosus and into the aortic diverticulum. Patent ductus arteriosus closure was confirmed by aortography or color flow imaging, or both. Follow-up after coil placement occurred at 6 weeks and 6 months and included two-view chest radiography, echocardiography and color flow imaging.
RESULTS
Of the 30 patients, 29 had successful implantation by one (27 patients) or two (2 patients) occluding spring coils. Of these 29 patients, 19 had a clinically apparent and 10 had a silent patent ductus arteriosus. Average ductus minimal internal dimension was 1.7 mm (range 1.0 to 3.0). Complete closure of the ductus was confirmed in 27 patients by aortography or color flow imaging or both (in 24 within 4 h, in 2 after 6 weeks and in 1 after 6 months). Six weeks after implantation, two patients had a tiny residual patent ductus arteriosus noted on color flow imaging. One patient did not have successful implantation. This patient had a 3.2-mm ductus, and two coils migrated to the distal left pulmonary artery and could not be retrieved. There were no deaths or any significant complications noted during early or late follow-up in these patients.
CONCLUSIONS
Occluding spring coils may have additional application in closing the small patent ductus arteriosus.
Topics: Aortography; Cardiac Catheterization; Child, Preschool; Ductus Arteriosus, Patent; Echocardiography, Doppler; Equipment Design; Follow-Up Studies; Humans; Prostheses and Implants; Stainless Steel; Treatment Outcome
PubMed: 8113562
DOI: 10.1016/0735-1097(94)90765-x -
Cardiovascular Clinics 1979
Topics: Adult; Arteritis; Ductus Arteriosus, Patent; Eisenmenger Complex; Heart Aneurysm; Humans; Infant, Newborn; Prognosis
PubMed: 498183
DOI: No ID Found