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. 2011 Jan;13(1):1-5.

Patent ductus arteriosus device embolization

Affiliations

Patent ductus arteriosus device embolization

K Iqbal et al. Images Paediatr Cardiol. 2011 Jan.

Abstract

Nonsurgical closure of patent ductus arteriosus (PDA) using a duct occluder placed percutaneously is currently the first line of therapy and the success rate is quite high. Several devices are currently available. An eight year child underwent device closure of the ductus. However after deployment of the device it, became dislodged into the left pulmonary artery. Several attempts at catheter retrieval failed. The child underwent successful surgical removal of the device without cardiopulmonary bypass.

Keywords: Heart defects; congenital; patent ductus.

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Figures

Figure 1
Figure 1
Angiogram in lateral plane showing a small residual left to right shunt with PDA device in place before unscrewing of the stylet
Figure 2
Figure 2
Cine image in lateral plane showing device embolized into left pulmonary artery soon after its release from stylet.
Figure 3
Figure 3
Showing the PDA device being retrieved from left pulmonary artery via left thoracotomy without cardiopulmonary bypass.
Figure 4
Figure 4
Showing measurement of diameter of inflated Tyshak Balloon by a caliper after inflating it with fixed quantity of contrast.
Figure 5
Figure 5
Angiogram in lateral plane showing an inflated Tyshak balloon across the PDA making an impression of the ductus.

References

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