Subclinical aortic perforation with the infant double-button patent ductus arteriosus occluder

Catheter Cardiovasc Interv. 1999 Nov;48(3):296-8. doi: 10.1002/(sici)1522-726x(199911)48:3<296::aid-ccd13>3.0.co;2-r.

Abstract

Modification of the double-button (Sideris) patent ductus arteriosus (PDA) occluder has resulted in a single-strut aortic component rather than the conventional cross-strut design. We report the use of this infant PDA occluder for transcatheter closure in three patients with PDA measuring 2 mm, 3.7 mm, and 4 mm. Subclinical aortic perforation with a small aortic aneurysm developed in two patients 1 year after occluder implantation. The third patient had developed a small aortic aneurysm without perforation at 3-month follow-up. All three patients had a residual shunt and underwent successful PDA surgical closure with aortic aneurysmal repair. Single-strut umbrella designs are not recommended for PDA transcatheter closure.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / injuries*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Rupture / diagnostic imaging
  • Aortic Rupture / etiology*
  • Aortography
  • Child, Preschool
  • Ductus Arteriosus, Patent / therapy*
  • Equipment Design
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Prosthesis Implantation / adverse effects*
  • Prosthesis Implantation / instrumentation
  • Tomography, X-Ray Computed