Device closure of patent ductus arteriosus in Marfan patients: safety and effect on the aortic root diameter

Autor:	Keyhan S, Zanjani, Abdul Rahim, Wong, Masood, Sadiq, Howard S, Weber, Nancy G, Cutler
Rok vydání:	2010
Předmět:	Male Cardiac Catheterization Time Factors Adolescent Septal Occluder Device Malaysia Infant Iran Sinus of Valsalva Prosthesis Design Risk Assessment United States Marfan Syndrome Young Adult Treatment Outcome Child Preschool Humans Female Pakistan Child Ductus Arteriosus Patent Ultrasonography
Zdroj:	Congenital heart disease. 5(5)
ISSN:	1747-0803
Popis:	There is little evidence in the medical literature about safety of PDA device closure and its effects on aortic root diameter in Marfan patients. We reported on nine Marfan patients whose ducts were occluded by coil or Amplatzer Duct Occluder.Two patients had aneurismal type E ducts which were closed by a single coil, respectively. The others had conical ducts for which even Amplatzer occluder, stiff, or double coils were used.No untoward consequence was found during a median follow up period of 18.5 months (range 3 months to 6.33 years). Two patients had small residual shunts. The observed change in the mean ratio of aortic root diameter to its estimated value was statistically insignificant in seven patients who had complete data on their aortic root diameter before PDA closure and during the follow up.We concluded that PDA device closure in Marfan patients is safe. Risk of residual shunt is higher even after closure of small ducts.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::b279546441caa208fe7846283ec8c5ef https://pubmed.ncbi.nlm.nih.gov/21087429 Zobrazit plný text záznamu Plný text