[Late reopening of patent ductus arteriosus after complete closure with the Rashkind prosthesis. Possible traumatic origin]

Rev Esp Cardiol. 1997 Feb;50(2):133-6. doi: 10.1016/s0300-8932(97)73192-0.
[Article in Spanish]

Abstract

We report the case of a symptomatic adult with an occluded persistent duct with a transcatheter proceeding using a Rashkind prosthesis. After a month of follow up the color-coded Doppler-flow echocardiogram did not show residual shunt, posteriorly the patient's symptoms disappeared and the left ventricular dimensions were reduced. At the thirteen month of follow-up, the patient had an accident while working, falling down from a scaffold. Afterwards, a ductal jet was observed in the echocardiogram with an increased size of the left ventricle, symptoms also appeared. A cardiac catheterism was then performed showing a pulmonary/systemic flow rate of 2 and a 3 mm flow jet at the superior border of the prosthesis. A second prosthesis was implanted with no residual shunts.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • Accidental Falls*
  • Aortography
  • Cardiac Catheterization
  • Ductus Arteriosus, Patent / diagnosis
  • Ductus Arteriosus, Patent / diagnostic imaging
  • Ductus Arteriosus, Patent / surgery*
  • Echocardiography, Doppler, Color
  • Follow-Up Studies
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / etiology*
  • Prostheses and Implants*
  • Time Factors