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Transcatheter resolution of an aneurism of the pulmonary trunk with residual ductus arteriosus after thoracoscopic clipping: a new approach

Published online by Cambridge University Press:  18 March 2022

Sylvia K. Sánchez González*
Affiliation:
National Institute of Paediatrics, Department of Pediatric Cardiology, Mexico City, Mexico
José Luis Colín Ortíz
Affiliation:
National Institute of Paediatrics, Department of Pediatric Cardiology, Mexico City, Mexico
Rigoberto Zamudio Meneses
Affiliation:
Hospital of the Poblano Child, Department of Pediatric Cardiology, Puebla, México
Hugo Cabrera González
Affiliation:
Hospital of the Poblano Child, Department of Pediatric Cardiology, Puebla, México
Roberto Maldonado Alonso
Affiliation:
Hospital of the Poblano Child, Department of Pediatric Cardiology, Puebla, México
*
Author for correspondence: Sylvia K. Sánchez González, MD, Department of Pediatric Cardiology, National Institute of Paediatrics, Insurgentes Sur 3700, Coyoacán C.P. 04530. 10840900. Tel: +52 3313967163. E-mail: dra.sylvia.sanchez@outlook.com

Abstract

Patent ductus arteriosus is the most common cardiac anomaly in our country. In the last few decades, there has been a lot of interest in developing less invasive techniques like video-assisted thoracoscopic clipping; nevertheless, this also has some complications. We present an 8-year-old female, which had been treated with video-assisted thoracoscopic clipping of patent ductus arteriosus. Five years later, she presented with a large aneurysm of the ductus arteriosus extending to the pulmonary trunk and a residual patent ductus arteriosus. A Cardia ASD occluder of 24 mm was placed in the aneurysm, and the residual ductus arteriosus was then closed with an Amplatzer Plug vascular II device of 10 mm, with a good outcome. The development of an aneurysm after video-assisted patent ductus arteriosus closure is apparently a non-reported complication; therefore, there are also no reports for its treatment. That is why we present this case as an option for its resolution.

Type
Original Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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