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Transcatheter interruption of large residual flow after device closure of "Type A" patent ductus arteriosus


Department of Paediatric Cardiology, Frontier Lifeline Hospital and Dr. K.M. Cherian Heart Foundation, Chennai, India

Correspondence Address:
Anuradha Sridhar
Department of Paediatric Cardiology, Frontier Lifeline and Dr. K.M. Cherian Heart Foundation, R30C, Ambattur Industrial Estate Road, Mogappair, Chennai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.99632

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Year : 2012  |  Volume : 5  |  Issue : 2  |  Page : 210-212

 

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We report a case of 3-year-old girl who had persistence of large residual flow following transcatheter closure of a 6 mm 'Type A' patent ductus arteriosus using a 12 × 10 mm duct occluder. Angiography revealed a large left-to-right shunt coursing through and exiting around the implanted device. Near total abolition of the residual shunt was achieved by initial implantation of an embolization coil within the duct occluder and subsequently an Amplatzer duct occluder (ADO II) adjacent to the duct occluder. This challenging case describes an additional technique of abolishing a large residual flow in and around a Nitinol duct occluder device.






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Department of Paediatric Cardiology, Frontier Lifeline Hospital and Dr. K.M. Cherian Heart Foundation, Chennai, India

Correspondence Address:
Anuradha Sridhar
Department of Paediatric Cardiology, Frontier Lifeline and Dr. K.M. Cherian Heart Foundation, R30C, Ambattur Industrial Estate Road, Mogappair, Chennai
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.99632

Rights and Permissions

We report a case of 3-year-old girl who had persistence of large residual flow following transcatheter closure of a 6 mm 'Type A' patent ductus arteriosus using a 12 × 10 mm duct occluder. Angiography revealed a large left-to-right shunt coursing through and exiting around the implanted device. Near total abolition of the residual shunt was achieved by initial implantation of an embolization coil within the duct occluder and subsequently an Amplatzer duct occluder (ADO II) adjacent to the duct occluder. This challenging case describes an additional technique of abolishing a large residual flow in and around a Nitinol duct occluder device.






[FULL TEXT] [PDF]*


        
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