Transcatheter coil embolization for patent ductus arteriosus in the elderly: Report of a case and review of the published work

Authors: Aoyagi, Shigeaki; Chihara, Shingo¹; Fukunaga, Shuji¹; Mori, Ryusuke¹; Suda, Kenji²

Source: Geriatrics and Gerontology International, Volume 9, Number 3, September 2009 , pp. 329-332(4)

Publisher: Wiley-Blackwell

Abstract:

Patent ductus arteriosus is the third most common congenital cardiovascular anomaly, however, it is rarely found in the elderly. We describe a case of patent ductus arteriosus in a 72-year-old woman in whom patent ductus arteriosus was successfully managed by transcatheter coil embolization. The patient had been diagnosed with a heart murmur for the first time 1 year earlier at the age of 71. She was asymptomatic but a continuous murmur was heard. Cardiac catheterization revealed migration of a catheter from the main pulmonary artery into the descending aorta through a patent ductus arteriosus and a significant step-up of oxygen saturation in the main pulmonary artery with a pulmonary-to-systemic flow ratio of 1.68. Aortograms demonstrated a communication between the aorta and the pulmonary artery through a patent ductus arteriosus with a minimal diameter of 3.7 mm. Transcatheter coil embolization of the patent ductus arteriosus was successfully carried out with two 0.052-inch-diameter Gianturco coils. Doppler echocardiographic study confirmed no residual shunt in the main pulmonary artery after the procedure. Non-surgical transcatheter occlusion using coil embolization appears to be an effective and minimally invasive technique for treatment of patent ductus arteriosus in the elderly.

Keywords: elderly; heart catheterization; interventional radiology; patent ductus arteriosus; therapeutic embolization

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1447-0594.2009.00541.x

Affiliations: 1: Departments of Surgery and 2: Pediatrics, Kurume University School of Medicine, Kurume, Japan

Publication date: 2009-09-01

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