Article ID Journal Published Year Pages File Type
3017550 Revista Española de Cardiología (English Edition) 2007 4 Pages PDF
Abstract

The association of a right aortic arch with an ipsilateral patent ductus arteriosus is rare, especially when 3 are no other intracardiac anomalies. We report three female patients aged 26, 35, and 9 years with this combination in whom previous attempts at surgical closure by thoracotomy and sternotomy were unsuccessful and who subsequently underwent successful percutaneous closure of the defects using Amplatzer devices. In 2 patients, although angiography demonstrated the presence of type-A patent ductus arteriosus, it was not possible to determine the minimum diameter accurately and it was necessary to measure it using a sizing balloon. An Amplatzer duct occluder was used in 2 patients and an Amplatzer muscular ventricular septal defect occluder in the other. In all patients, full closure was confirmed in the catheterization laboratory and the patients were discharged on the same day with no complications. Percutaneous closure of a right patent ductus arteriosus associated with a right aortic arch is feasible, safe and effective.

La asociación de arco aórtico a la derecha con persis-tencia del conducto arterioso ipsolateral es rara, principal-mente cuando no hay otras anomalfas intracardiacas asociadas. Comunicamos los casos de 3 pacientes del sexo femenino de 26, 35 y 9 años con esta enfermedad e intentos previos infructuosos de cierre quirúrgico a través de toracotomía y esternotomía, a quienes se realizó cierre percutaneo del defecto con dispositivos tipo Amplatzer con exito. En 2 pacientes, aunque las angiograffas docu-mentaron la presencia de persistencia del conducto arterioso tipo A, no se pudo definir bien el diametro mfnimo y fue necesario determinarlo con el balón medidor. Se im-plantaron Amplatzer Duct Occluder en 2 pacientes y Amplatzer para comunicacion interventricular muscular en el otro. En todos se corroboro el cierre complete del defecto en la sala de hemodinamica y fueron dados de alta sin complicaciones. El cierre percutáneo del conducto dere-cho en presencia de arco aortico a la derecha es factible, seguroy efectivo.

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