Cargando…

Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report

Percutaneous transcatheter closure has gained acceptance for patent ductus arteriosus (PDA) management ever since its introduction, including the management residual left-to-right shunts following surgical ligations. It is preferred than the more invasive surgical closure. While large PDA is closed...

Descripción completa

Detalles Bibliográficos
Autores principales: Tondas, Alexander Edo, Mulawarman, Rido, Trifitriana, Monica, Guyanto, Moza, Pranata, Raymond, Komaria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140675/
https://www.ncbi.nlm.nih.gov/pubmed/34046125
http://dx.doi.org/10.11604/pamj.2021.38.219.22448
_version_ 1783696225797668864
author Tondas, Alexander Edo
Mulawarman, Rido
Trifitriana, Monica
Guyanto, Moza
Pranata, Raymond
Komaria,
author_facet Tondas, Alexander Edo
Mulawarman, Rido
Trifitriana, Monica
Guyanto, Moza
Pranata, Raymond
Komaria,
author_sort Tondas, Alexander Edo
collection PubMed
description Percutaneous transcatheter closure has gained acceptance for patent ductus arteriosus (PDA) management ever since its introduction, including the management residual left-to-right shunts following surgical ligations. It is preferred than the more invasive surgical closure. While large PDA is closed to prevent heart failure, the decision to close a small hemodynamically insignificant PDA is still a debatable issue. We present a case of percutaneous transcatheter closure of small residual left-to-right shunt PDA using HeartR™ Lifetech PDA occluder with instantaneous closure in an asymptomatic adult patient. The justification of closure was made based on the previous history of infective endocarditis, followed by PDA ligation and endarterectomy surgery, at 1.5 year before admission.
format Online
Article
Text
id pubmed-8140675
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The African Field Epidemiology Network
record_format MEDLINE/PubMed
spelling pubmed-81406752021-05-26 Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report Tondas, Alexander Edo Mulawarman, Rido Trifitriana, Monica Guyanto, Moza Pranata, Raymond Komaria, Pan Afr Med J Case Report Percutaneous transcatheter closure has gained acceptance for patent ductus arteriosus (PDA) management ever since its introduction, including the management residual left-to-right shunts following surgical ligations. It is preferred than the more invasive surgical closure. While large PDA is closed to prevent heart failure, the decision to close a small hemodynamically insignificant PDA is still a debatable issue. We present a case of percutaneous transcatheter closure of small residual left-to-right shunt PDA using HeartR™ Lifetech PDA occluder with instantaneous closure in an asymptomatic adult patient. The justification of closure was made based on the previous history of infective endocarditis, followed by PDA ligation and endarterectomy surgery, at 1.5 year before admission. The African Field Epidemiology Network 2021-02-25 /pmc/articles/PMC8140675/ /pubmed/34046125 http://dx.doi.org/10.11604/pamj.2021.38.219.22448 Text en Copyright: Alexander Edo Tondas et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tondas, Alexander Edo
Mulawarman, Rido
Trifitriana, Monica
Guyanto, Moza
Pranata, Raymond
Komaria,
Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report
title Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report
title_full Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report
title_fullStr Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report
title_full_unstemmed Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report
title_short Small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report
title_sort small residual patent ductus arteriosus after surgical ligation in young adult: to close or not to close - a dilemmatic case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140675/
https://www.ncbi.nlm.nih.gov/pubmed/34046125
http://dx.doi.org/10.11604/pamj.2021.38.219.22448
work_keys_str_mv AT tondasalexanderedo smallresidualpatentductusarteriosusaftersurgicalligationinyoungadulttocloseornottocloseadilemmaticcasereport
AT mulawarmanrido smallresidualpatentductusarteriosusaftersurgicalligationinyoungadulttocloseornottocloseadilemmaticcasereport
AT trifitrianamonica smallresidualpatentductusarteriosusaftersurgicalligationinyoungadulttocloseornottocloseadilemmaticcasereport
AT guyantomoza smallresidualpatentductusarteriosusaftersurgicalligationinyoungadulttocloseornottocloseadilemmaticcasereport
AT pranataraymond smallresidualpatentductusarteriosusaftersurgicalligationinyoungadulttocloseornottocloseadilemmaticcasereport
AT komaria smallresidualpatentductusarteriosusaftersurgicalligationinyoungadulttocloseornottocloseadilemmaticcasereport