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Surgical ligation of a residually patent arterial duct following failed occlusion using transcatheter coils

Published online by Cambridge University Press:  24 May 2005

Derek S. Wheeler ,
James Matthew Maxwell  and
W. Bradley Poss
Derek S. Wheeler
Affiliation:
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA Department of Pediatrics, Division of Cardiothoracic Surgery, Naval Medical Center, USA
James Matthew Maxwell
Affiliation:
Department of Surgery, Division of Cardiothoracic Surgery, Naval Medical Center, San Diego, CA, USA International Heart Institute of Montana, Missoula, MT, USA
W. Bradley Poss
Affiliation:
Department of Pediatrics, Division of Cardiothoracic Surgery, Naval Medical Center, USA
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Abstract

Transcatheter techniques for occlusion of the persistently patent arterial duct using coils have become standard therapy at many centers for pediatric cardiology, and in selected patients have demonstrated comparable efficacy to surgical ligation. Surgical ligation may still be required in many cases, including premature infants or those born with low weight, those with ducts of large diameter, those with associated structural heart disease, and in circumstances of unsuccessful occlusion subsequent to attempted closure using coils. We report on the successful surgical ligation of an arterial duct of moderate size that exhibited residual patency despite two separate attempts at occlusion using coils.

Keywords

Ductus arteriosuscongenital heart diseasecardiac catheterization
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 6 , December 2003 , pp. 574 - 575
Copyright
© 2003 Cambridge University Press

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