Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2007;60:319-22 - Vol. 60 Num.03 DOI: 10.1016/S1885-5857(07)60158-3

Right Patent Ductus Arteriosus With an Ipsilateral Aortic Arch: Percutaneous Closure With Amplatzer Devices

Justo Santiago a, Manuel Acuña b, Elizabeth Arispe b, Ronaldo Camargo c, Juliana Neves a, Daniel Arnoni a, Valmir F Fontes a, Carlos AC Pedra a

a Servicio Médico de Intervenciones en Cardiopatías Congénitas, Instituto Dante Pazzanese de Cardiología, São Paulo, SP, Brasil,
b Servicio de Cardiología Pediátrica, Hospital de Niños JM de Los Ríos, Caracas, Venezuela,
c Hospital Santa Lucía, Manaus, AM, Brasil,

Keywords

Patent ductus arteriosus. Right aortic arch. Amplatzer.

Abstract

The association of a right aortic arch with an ipsilateral patent ductus arteriosus is rare, especially when there are no other intracardiac anomalies. We report three female patients aged 26, 35 and 9 years with this combination in whom previous attempts at surgical closure by thoracotomy and sternotomy were unsuccessful and who subsequently underwent successful percutaneous closure of the defects using Amplatzer devices. In two patients, although angiography demonstrated the presence of type-A patent ductus arteriosus, it was not possible to determine the minimum diameter accurately and it was necessary to measure it using a sizing balloon. An Amplatzer duct occluder was used in two patients and an Amplatzer muscular ventricular septal defect occluder, in the other. In all patients, full closure was confirmed in the catheterization laboratory and the patients were discharged on the same day with no complications. Percutaneous closure of a right patent ductus arteriosus associated with a right aortic arch is feasible, safe and effective.

1885-5857/© 2007 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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