Combined interventional and surgical treatment for a rare case of double patent ductus arteriosus

Experimental and Therapeutic Medicine
Xiao-Ke ShangRong Lu

Abstract

The present study describes the case of a 2.5-year-old girl with double patent ductus arteriosus (PDA) that was successfully treated following interventional and surgical treatment. Bilateral ductus arteriosus is a very rare condition, which is assumed to occur when the branchial-type arterial system transforms into the mammalian-type arterial system during the development of the aorta and its branches. This case was misdiagnosed as ordinary PDA by echocardiography prior to the first surgery and the surgery was not successful because of poor accessibility. Enhanced computed tomography subsequently showed situs solitus, atrial situs, levocardia, right-sided aortic arch with right-sided descending aorta, an isolated left subclavian artery and double PDA. Interventional treatment was performed and intraoperative aortic arch angiography showed that the descending aorta was the origin of the first funnel-type PDA (PDA-1). The left subclavian artery was not connected to the aorta but was connected to the pulmonary artery with a very narrow winding duct, which was PDA-2. Interventional treatment via PDA-2 also failed because passing a guidewire through the twisted PDA-2 was difficult. The child was immediately transferred to the surgi...Continue Reading

References

Jul 26, 2005·The Annals of Thoracic Surgery·Nicolas AmabileDominique Metras
Dec 17, 2010·Journal of Cardiac Surgery·Murat UgurlucanEmin Tireli
Jul 4, 2012·Heart Views : the Official Journal of the Gulf Heart Association·Sadiq M Al-HamashIsam V Nasser
May 25, 2013·Archives of Disease in Childhood. Fetal and Neonatal Edition·Anay KulkarniDonovan Duffy

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