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Restored left ventricular function following transcatheter closure of a persistent ductus arteriosus in an adult.
Fujii, Takanari; Tomita, Hideshi; Iwasaki, Junya; Sawada, Madoka; Soga, Takashi; Tanno, Kaoru; Sakai, Tetsuo; Kobayashi, Youichi; Itabashi, Kazuo; Uemura, Shigeru.
Afiliación
  • Fujii T; Cardiovascular Center, Showa University Northern Yokohama Hospital, 35-1 Chigasakichuo, Tuzuki-ku, Yokohama city, Kanagawa 224-8503, Japan.
  • Tomita H; Department of Pediatrics, Showa University School of Medicine, Tokyo, Japan.
  • Iwasaki J; Cardiovascular Center, Showa University Northern Yokohama Hospital, 35-1 Chigasakichuo, Tuzuki-ku, Yokohama city, Kanagawa 224-8503, Japan.
  • Sawada M; Department of Pediatrics, Showa University School of Medicine, Tokyo, Japan.
  • Soga T; Children's Medical Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
  • Tanno K; Children's Medical Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
  • Sakai T; Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
  • Kobayashi Y; Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
  • Itabashi K; Division of Cardiology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
  • Uemura S; Cardiovascular Center, Showa University Northern Yokohama Hospital, 35-1 Chigasakichuo, Tuzuki-ku, Yokohama city, Kanagawa 224-8503, Japan.
J Cardiol Cases ; 7(3): e64-e67, 2013 Mar.
Article en En | MEDLINE | ID: mdl-30533124
Recently, transcatheter device occlusion has become the first choice treatment for adult persistent ductus arteriosus (PDA). However, various complications such as atrial fibrillation requiring anticoagulation, pulmonary hypertension, and ventricular dysfunction may challenge the interventionist. We report a 61-year-old patient with a large PDA complicated by left ventricular dysfunction, atrial fibrillation, and left atrial thrombus. Computed tomography documented the PDA of Krichenko type A with the narrowest diameter of 8 mm. We successfully closed the PDA using an Amplatzer duct occluder under anticoagulation with wafarin. His post-operative course was complicated by ventricular tachycardia and deteriorating left ventricular pump function. Although endomyocardial biopsy from the left ventricle showed myocardial hypertrophy and interstitial fibrosis, possibly caused by chronic volume overload, left ventricular pump function improved dramatically with restoration of sinus rhythm during follow-up. Left ventricular dysfunction, even when associated with histological changes, may be nearly normalized by volume unloading in an adult with a large PDA. .
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cardiol Cases Año: 2013 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cardiol Cases Año: 2013 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón