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A hybrid approach for patent ductus arteriosus closure using the Amplatzer Duct Occluder
Author(s) -
Gu Qun,
Ma Luyao,
Gu Haitao,
Meng Yaling,
Shen Chen,
Kong Xiangyin,
Shao Yongfeng,
Zhang Shijiang
Publication year - 2018
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.13817
Subject(s) - medicine , ductus arteriosus , duct (anatomy) , closure (psychology) , cardiology , surgery , law , political science
Objective We performed closure of the patent ductus arteriosus (PDA) using a hybrid approach with an Amplatzer Duct Occluder. Methods Six patients (two males and four females) underwent PDA closure at a mean age of 7.8 months (range 2‐24 months) and a mean weight of 6.6 kg (range 4.5‐13 kg). The main pulmonary artery (MPA) was exposed via a minimally invasive left parasternal second intercostal space incision. Under transesophageal echocardiography guidance, the PDA occluder was implanted via direct puncture of the MPA. Results The procedure was successful in all patients with no residual shunt. There were no hospital deaths, and the postoperative course was uneventful. All patients were discharged on the 3rd to 4th day. There was no residual shunt in any patient on midterm follow‐up. Conclusions The novel hybrid approach is a safe, minimal invasive procedure. Further experience and longer follow‐up of these patients is necessary to conclude whether this technique is applicable to all the patients with a PDA.