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Case Reports
. 2023 Feb;115(2):e53-e55.
doi: 10.1016/j.athoracsur.2022.02.052. Epub 2022 Mar 12.

Patent Ductus Arteriosus Exclusion Technique Using Thoracic Endovascular Aortic Repair

Kirsten A Freeman  1 , Dean J Arnaoutakis  2 , Tomas D Martin  3 , James C Fudge  4 , George J Arnaoutakis  3
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Case Reports

Patent Ductus Arteriosus Exclusion Technique Using Thoracic Endovascular Aortic Repair

Kirsten A Freeman et al. Ann Thorac Surg. 2023 Feb.

Abstract

A large patent ductus arteriosus is an uncommon discovery in an adult. A 2.7-cm patent ductus arteriosus was found in a 31-year-old man with heart failure symptoms. Owing to the size, an occluder device failed to prevent left-to-right shunting, and consideration was given for alternatives to percutaneous closure, including traditional open repair vs thoracic endovascular aortic repair (TEVAR). After a left carotid-subclavian artery bypass was performed, the patient underwent a zone 2 deployment of TEVAR graft. TEVAR exclusion is a useful technique in adults, particularly in the setting of a large or calcified ductus.

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Comment in

  • Patent Ductus Arteriosus in the Adult.
    Vricella LA. Vricella LA. Ann Thorac Surg. 2023 Feb;115(2):e57. doi: 10.1016/j.athoracsur.2022.04.010. Epub 2022 Apr 20. Ann Thorac Surg. 2023. PMID: 35460620 No abstract available.

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