ISSN 1301-5680 ANASAYFA YAZIM KURALLARI EDİTÖRLER DERGİ HAKKINDA İÇİNDEKİLER ENGLISH
Türk Göğüs Kalp Damar Cerrahisi Dergisi
Ağustos 2011, Cilt 19, Sayı 3, Sayfa(lar) 323-328
[ Turkish ] [ Tam Metin ] [ PDF ]
Results of patent ductus arteriosus closure during adulthood using different devices
Abdullah Erdem,1 Fadli Demir,1 Türkay Sarıtaş,1 Celal Akdeniz,1 Cenap Zeybek,1 Yalım Yalçın,1 Numan Ali Aydemir,2 Ahmet Çelebi1
1Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Pediatrik Kardiyoloji Kliniği, İstanbul
2Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul
Keywords: Adult; patent ductus arteriosus; transcatheter closure

Background: In this study, we present cases of patent ductus arteriosus (PDA) diagnosed during adulthood and closed using different devices.

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.


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“Türk Göğüs Kalp Damar Cerrahisi Dergisi” kardiyovasküler cerrahi, kardiyovasküler anestezi, kalp cerrahisiyle ilgili branşlar, göğüs hastalıkları ve cerrahisi konusunda araştırma, inceleme, derleme, olgu sunumu, orjinal cerrahi teknikler ve editöre mektupları yayınlar. Dergi “Türk Kalp Damar Cerrahisi Derneği ve Türk Göğüs Cerrahisi Derneği”nin ortak yayın organıdır.

Dergide yayınlanmış veya yayınlanacak olan tüm yazıların yayın hakkı Türk Göğüs Kalp Damar Cerrahisi Dergisi’ne aittir ve Yayın Kurulu’nun izni olmadan yazıların tümü veya herhangi bir bölümü, tabloları, resim ve şekilleri yayınlanamaz.

Türk Göğüs Kalp Damar Cerrahisi Dergisi Science Citation Index - Expanded (SCIE) tarafından indekslenmektedir.

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