Abstract
A percutaneous approach to the closure of patent ductus arteriosus (PDA) is the preferred procedure in the majority of cases. However, there is little experience with percutaneous closure of unusually large PDA. We report the case of a 28-year-old female with moderate left ventricular dilation and pulmonary hypertension resulting from a large 16 mm PDA. Percutaneous closure was successfully performed using an off-label Amplatzer muscular ventricular septal defect occluder after intravascular ultrasound assessment. Technical challenges, including accurate assessment of defect size and device selection are exemplified along with a comprehensive overview of the available literature.
This is a preview of subscription content, log in via an institution to check access.
References
Gross RE, Hubbard JP. Surgical ligation of a patent ductus arteriosus: a report of first successful case. JAMA. 1939;112:729–31.
Schneider DJ, Moore JW. Patent ductus arteriosus. Circulation. 2006;114:1873–82.
Porstmann W, Wierny L, Warnke H. Closure of persistent ductus arteriosus without thoracotomy. Ger Med Mon. 1967;12(6):259–61.
Spies C, Ujivari F, Schräder R. Transcatheter closure of a 22 mm patent ductus arteriosus with an Amplatzer atrial septaloccluder. Catheter Cardiovasc Interv. 2005;64:352–5.
Hijazi ZM, Geggel RL. Transcatheter closure of large patent ductusarteriosus (≥4 mm) with multiple Gianturco coils: immediate and mid-term results. Heart. 1996;76:536–40.
Demkow M, Ruzyllo W, Siudalska H, Kepka C. Transcatheterclosure of a 16 mm hypertensive patent ductusarteriosus with the Amplatzer muscular VSD occluder. Catheter Cardiovasc Interv. 2001;52:359–62.
Onorato E, Mbala-Mukendi M, Casilli F, Girardi P, Canali G, Lanzoni L, Guilarte N, Barbieri E. Amplatzer muscular VSD occluder for catheter closure of a 20 mm hypertensive patent ductusarteriosus. Minerva Cardioangiol. 2004;52:219–23.
Thanopoulos BD, Tsaousis GS, Djukic M, Al Hakim F, Eleftherakis NG, Simeunovic SD. Transcatheter closure of high pulmonary artery pressure persistent ductusarteriosus with the Amplatzer muscular ventricular septal defect occluder. Heart. 2002;87(3):260–3.
Eicken A, Balling G, Gildein HP, Genz T, Kaemmerer H, Hess J. Transcatheterclosure of a non-restrictive patent ductusarteriosus with an Amplatzer muscular ventricular septal defect occluder. Int J Cardiol. 2007;117(1):e40–2 Epub 2006 Dec 29.
Hokanson JS, Gimelli G, Bass JL. Percutaneous closure of a large PDA in a 35-year-old man with elevated pulmonary vascular resistance. Congenit Heart Dis. 2008;3(2):149–54.
Pedra C, Sanches S, Fontes V. Percutaneous occlusion of the patent ductusarteriosus with the amplatzer device for atrial septal defects. J Invasive Cardiol. 2003;15:413–7.
Hijazi ZM, Ahmad WH, Geggel RL, Marx GR. Intravascular ultrasound during transcatheter coil closure of patent ductusarteriosus: comparison with angiography. J Invasive Cardiol. 1998;10(5):251–4.
Bilgiç A, Celiker A, Ozkutlu S, Ayabakan C, Karagöz T, Ocal T. Transcatheter closure of secundum atrial septal defects, a ventricular septal defect, and a patent arterial duct. Turk J Pediatr. 2001;43(1):12–8.
Fechtrup C, Kerber S, Karbenn U, Borggrefe M, Breithardt G. Value of intravascular ultrasound in the diagnosis and characterization of patent ductusarteriosus in an adult patient. Eur Heart J. 1993;14(8):1148–9.
Forsey J, Kenny D, Morgan G, Hayes A, Turner M, Tometzki A, Martin R. Early clinical experience with the new Amplatzer ductal occluder II for closure of the persistent arterial duct. Catheter Cardiovasc Interv. 2009;74(4):615–23.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cubeddu, R.J., Babin, I. & Inglessis, I. The off-label use of the Amplatzer muscular VSD occluder for large patent ductus arteriosus: a case report and review. Cardiovasc Interv and Ther 29, 256–260 (2014). https://doi.org/10.1007/s12928-013-0223-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12928-013-0223-7