Skip to main content
SpringerLink
Log in

Amplatzer Angled Duct Occluder for Closure of Patent Ductus Arteriosus Larger than the Aorta in an Infant

  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Transcatheter closure of patent ductus arteriosus (PDA) by Amplatzer duct occluder is the treatment of choice. However, closure of very large ducts in infants with low weight is a challenge for the interventionalist because a large device may obstruct the aorta or left pulmonary artery. Difficulty is also encountered in advancing the device around the curve of the right ventricular outflow tract toward the pulmonary artery; this curve is tight, more or less at a right angle in infants, leading to kinking of the sheath, which increases fluoroscopic time. This is the first reported case of a very large PDA (8.7 mm), larger than the aorta (8.2 mm), successfully closed by an Amplatzer angled duct occluder in an infant weighing 5 kg.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6

Similar content being viewed by others

References

  1. P Ewert O Kretschmar JH Nuernberg N Nagdyman PE Lange (2002) ArticleTitleFirst closure of a large patent ductus arteriosus in an infant with angulated nitinol plug Cathet Cardiovasc Inter 57 88–91

    Google Scholar 

  2. J Masura P Gavora T Podnar (2003) ArticleTitleTranscatheter occlusion of patent ductus arteriosus using a new angled amplatzer duct occluder: initial clinical experience Cardiovasc Inter 58 261–267

    Google Scholar 

Download references

Acknowledgments

We thank Dr. Kurt Amplatz for the custom-made Amplatzer angled duct occluder and specially braided kink-resistant introducing sheath (AGA Medical Corporation, Golden Valley, MN, USA). We also thank Dr. Ramesh Arora for guidance and kind assistance.

Author information

Authors and Affiliations

  1. Department of Pediatric Cardiology, Children's Heart Care Centre, Sri Jayadeva Institute of Cardiology, Aditi, 44 A, V Main Road, Vijayanagar II Stage, Bangalore, 560 040, India

    I. B. Vijayalakshmi, N. Chitra, R. Rajasri & A. N. Prabhudeva

Authors
  1. I. B. Vijayalakshmi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Chitra
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Rajasri
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. N. Prabhudeva
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to I. B. Vijayalakshmi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vijayalakshmi, I.B., Chitra, N., Rajasri, R. et al. Amplatzer Angled Duct Occluder for Closure of Patent Ductus Arteriosus Larger than the Aorta in an Infant. Pediatr Cardiol 26, 480–483 (2005). https://doi.org/10.1007/s00246-004-0794-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-004-0794-2

Keywords

Search

Navigation