Munayer Calderón J, Aldana Pérez T, San Luis Miranda R, Maza Juárez G, Lázaro Castillo J L, Ramírez Reyes H, Quintero L R, Arias Monroy L, Campos Gómez A
Departamento de Hemodinamia, Hospital General, CMN La Raza IMSS, México D.F.
Arch Inst Cardiol Mex. 2000 Jul-Aug;70(4):403-6.
We present the initial experience of closing of patent ductus arteriosus (PDA) with a new device; Gianturco-Grifka, at the General Hospital of The Medical Center "La Raza". The patient was a 4 year's old girl, in whom we detected continuous murmur in the second intercostal space, echocardiography showed a long conical patent ductus arteriosus 4.9 mm of diameter, systolic pressure of the pulmonary artery was 35 mm Hg with QP/QS 1.6:1. Hemodynamic study revealed a long conical ductus arteriosus 5 mm of diameter, type A1 from Krichenko classification. We proceeded to occlude the PDA with a Gianturco-Grifka device of 7 mm. Immediately after the PDA occlusion the shunt disappeared, there were no complications during the procedure. More cases are needed to determine long term benefits and limitations, of this procedure. However we conclude that technically it is easy to use. There is greater decrease of residual shunt that the one reported with other devices.
