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Ivan Degrieck
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J Thorac Cardiovasc Surg 2006;132:438-440
© 2006 The American Association for Thoracic Surgery

Brief Communication

Endovascular treatment of concomitant patent ductus arteriosus and type B aortic dissection in a patient with pulmonary artery dissection

Ihsan Bakir, MD a , * , * , Ivan Degrieck, MD a , Patrick Lecomte, MD b , Jose Coddens, MD b , Luc Foubert, MD, PhD b , Alex Heyse, MD c , Hugo Vanermen, MD a

a Department of Thoracic and Cardiovascular Surgery, OLV Clinic, Aalst, Belgium
b Department of Anesthesiology and Critical Care Medicine, OLV Clinic, Aalst, Belgium
c Department of Cardiology, AZ ZVB, Ronse, Belgium

Received for publication February 21, 2006; accepted for publication April 10, 2006.

* Address for reprints: Ihsan Bakir, MD, OLV Clinic, Cardiovascular and Thoracic Surgery Department, Moorselbaan 164, 9300 Aalst, Belgium (Email: ihsanbak@yahoo.com).

The first 20% of the full text of this article appears below.


Figure 1
Drs Bakir and Degrieck


The ideal management of patent ductus arteriosus (PDA) in the older patent is still controversial. Increasing evidence in the literature 1,2 Go indicates that transcatheter closure of PDA in this age group is safe and effective. A case of a patient with symptomatic PDA accompanying a chronic type B aortic dissection and silent pulmonary artery (PA) dissection is described.

Clinical Summary

A 74-year-old woman was admitted with diffuse peripheral edema and orthopnea. Physical examination revealed a continuous murmur on the precordial region. Assessment with transesophageal echocardiography revealed an ascending aortic aneurysm of 4.6 cm, dilated right ventricle, dissection of the descending aorta, and an open ductus Botalli. Pulmonary hypertension was estimated from pressure measurements. Computed tomographic (CT) scan confirmed the diagnosis of PDA (diameter 10 mm) and type B aortic dissection (Figure 1, A and B). CT scan also demonstrated a dissection in the truncus pulmonalis (Figure 1, B and C). It was shown that the flow in the PDA originated from the false lumen of the dissected descending aorta (Figure 1, A) and terminated in the dissected main PA (Figure 1, . . . [Full Text of this Article]






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