Tatsuishi Wataru, Kataoka Go, Asano Ryota, Sato Atsuhiko, Nakano Kiyoharu
Department of Cardiovascular Surgery, Tokyo Women's Medical University, Medical Center East, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2016 Jun 20;22(3):193-5. doi: 10.5761/atcs.cr.15-00217. Epub 2015 Sep 4.
Closure of a patent ductus arteriosus (PDA) in the elderly is a high-risk procedure because of tissue fragility and many possible complications. The patient in our case was an 81-year-old woman with a window-type PDA caused by cardiac failure. Based on the anatomy of the PDA and aorta and to minimize invasion, we used a stent graft to close the PDA. This approach was successful; hemodynamics improved and ductus flow was eliminated during the follow-up period without intervention from the pulmonary artery side.
老年患者动脉导管未闭（PDA）的封堵是一项高风险手术，因为组织脆弱且可能出现多种并发症。我们病例中的患者是一名81岁女性，因心力衰竭导致窗型PDA。基于PDA和主动脉的解剖结构，为尽量减少侵袭，我们使用覆膜支架封堵PDA。该方法取得成功；随访期间血流动力学改善，未进行肺动脉侧干预，动脉导管血流即消失。
