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Coil occlusion of patent ductus arteriosus associated with right aortic arch
P S Rao1, A J Wagman, S C Chen
1Division of Pediatric Cardiology, Saint Louis University School of Medicine/Cardinal Glennon Children's Hospital, St. Louis, MO 63104, USA. raops@slu.edu
Insights
Transcatheter coil occlusion is a safe and effective treatment for children with patent ductus arteriosus and right aortic arch. Careful pre-procedural assessment is crucial to ensure patient safety and successful outcomes.
Area of Science:
- Cardiovascular Medicine
- Pediatric Cardiology
- Interventional Cardiology
Background:
- Patent ductus arteriosus (PDA) is a common congenital heart defect.
- Right aortic arch is a rare anomaly that can be associated with PDA.
- Vascular rings can cause significant morbidity in children.
Observation:
- Two pediatric patients with PDA and right aortic arch were treated.
- Transcatheter coil occlusion was the chosen intervention.
- Detailed anatomical assessment was performed prior to the procedure.
Findings:
- Successful transcatheter coil occlusion of PDA in both patients.
- No symptomatic vascular ring complications were observed.
- The procedure demonstrated feasibility, safety, and efficacy.
Implications:
- Transcatheter coil occlusion is a viable treatment option for PDA with right aortic arch.
- Thorough pre-procedural imaging is essential to rule out symptomatic vascular rings.
- This approach offers a minimally invasive solution for complex congenital heart disease.
Abstract:
Two children with patent ductus arteriosus and associated right aortic arch underwent successful transcatheter coil occlusion. Recognition of ductal anatomy and ensuring that no symptomatic vascular ring is present are important prior to embarking on ductal occlusion. It is concluded that coil occlusion of patent ductus arteriosus in association with right aortic arch is feasible, safe, and effective.