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Case Report: Thoracic Endovascular Aortic Repair Using a Non-Touch Exclusion Technique With a Custom-Made Device for the Treatment of a Large Patent Ductus Arteriosus Publisher



Jenab Y1 ; Salehi Omran H1 ; Hosseini K1, 2 ; Tofighi S1 ; Ghaderian H1 ; Ates I3
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Authors Affiliations
  1. 1. Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Cardiology, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey

Source: Frontiers in Cardiovascular Medicine Published:2023


Abstract

Patent ductus arteriosus (PDA) is a common congenital heart disease affecting roughly one in every 2,000 term births. Although most of the patients are diagnosed and treated during childhood, few cases may persist into adulthood. We presented a 27-year-old male patient with a 20.2 mm diameter PDA who was referred to our hospital with progressive fatigue and exertional dyspnea. Given the potential complications, usual techniques such as coil occlusion and duct occluders were deemed inappropriate for this patient. Thoracic endovascular aortic repair (TEVAR) using a non-touch exclusion technique was successfully performed for this patient. The patient was discharged with no major post-surgical complications. TEVAR could be a new, safe, and effective alternative treatment to other transcatheter procedures for complicated PDAs in some patients. 2023 Jenab, Salehi Omran, Hosseini, Tofighi, Ghaderian and Ates.