In this study, we present cases of patent ductus
arteriosus (PDA) diagnosed during adulthood and closed using
Methods: Patients over 18 years of age who were diagnosed at our
clinic or who were referred to our clinic for PDA closure between
August 2003 and December 2009 were included in this study.
The patent ductus arteriosus closure procedure was perfomed
in 57 patients (14 males, 43 females; mean age 32.1±15.7 years;
range 18 to 69 years). The success rate of the procedure was
100%. A duct occluder was used in 31 patients, a controlled
release coil was used in 17 patients and a Gianturco coil was used
in nine for PDA closure. Closure was indicated in all patients who
had a continuous murmur on auscultation following diagnosis of
PDA by transthoracic echocardiography. The closure procedure
was accomplished according to the patient's will in cases of a
silent PDA where there was no audible murmur.
Results: The early total occlusion rate in the catheterization
laboratory was 86% (n=49) when all three types of devices were
taken into consideration. The total occlusion rate was 98% (n=56) as
determined by echocardiographic control performed the day after.
Two patients who had more than a trivial residual shunt following
closure with controlled-release coils had a second coil applied in
the same session to achieve total occlusion. Another patient who
had hemolysis as a consequence of a trivial residual shunt following
controlled-release coil implantation for PDA closure was taken
back to the catheterization laboratory a day later and had a second
coil implanted for total occlusion. Coil embolization developed in
a patient in whom a Gianturco coil was used. The embolized coil
was removed using a snare catheter, and the closure procedure was
accomplished successfully with another coil.
Conclusion: Patent ductus arteriosus in adulthood, after taking
the size into consideration, can be safely closed using duct
occluders and coils.