Abstract | BACKGROUND: MATERIALS AND METHODS: We present a series of 17 patients with large and hypertensive ductus arteriosus who were treated with an Amplatzer Septal Occluder. The group had 11 female patients (64.7%) and a mean age of 18.6±12.1 years. RESULTS: The haemodynamic and anatomical data are as follows: pulmonary artery systolic pressure 71.3±31.8 mmHg, pulmonary to systemic flow ratio 3.14±1.36, ductal diameter at the pulmonary end 12.5±3.8 mm, and at the aortic end 20.2±7.7 mm; 14 cases (82.3%) had type A ducts. In 11 patients, we began the procedure using a different device - six with duct occluder and five with ventricular septal occluder - and it was changed because of device embolisation in six (35.3%). All septal occluders were delivered successfully. Residual shunt was moderate in six patients (35.3%), mild in eight (47%), trivial in two (11.8%), and no shunt in one (5.9%). Pulmonary systolic pressure decreased to 48.9±10.8 mmHg after occlusion (p=0.0015). Follow-up in 15 patients (88.2%) for 28.4±14.4 months showed complete closure in all cases but one, and continuous decrease of the pulmonary systolic pressure to 31.4±10.5 mmHg. No complications at follow-up have been reported. CONCLUSIONS:
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Authors | José A García-Montes, Anahí Camacho-Castro, Juan P Sandoval-Jones, Alfonso Buendía-Hernández, Juan Calderón-Colmenero, Emilia Patiño-Bahena, Carlos Zabal |
Journal | Cardiology in the young
(Cardiol Young)
Vol. 25
Issue 3
Pg. 491-5
(Mar 2015)
ISSN: 1467-1107 [Electronic] England |
PMID | 24555910
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Blood Vessel Prosthesis
- Cardiac Catheterization
(methods)
- Child
- Child, Preschool
- Ductus Arteriosus, Patent
(complications, diagnosis, pathology, physiopathology, therapy)
- Female
- Follow-Up Studies
- Hemodynamics
- Humans
- Hypertension, Pulmonary
(etiology, therapy)
- Male
- Septal Occluder Device
- Treatment Outcome
- Young Adult
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