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Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
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Development of aortic coarctation following device closure of patent ductus arteriosus

Arpan R Doshi1, P Syamasundar Rao

  • 1Department of Pediatrics, Division of Pediatrics Cardiology, University of Texas Health Science Center at Houston/Children's Memorial Hermann Hospital, Houston Texas, USA. dr.arpan@gmail.com

The Journal of Invasive Cardiology
|September 3, 2013
PubMed

Insights

Transcatheter closure of a large patent ductus arteriosus can lead to aortic coarctation. Transcatheter management effectively relieves this obstruction once it develops.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Patent ductus arteriosus (PDA) is a common congenital heart defect.
  • Transcatheter closure is a standard treatment for PDA.

Observation:

  • A patient treated for a large PDA in infancy developed aortic coarctation during follow-up.
  • The coarctation was initially treated with balloon angioplasty and stent implantation.

Findings:

  • Transcatheter management, including angioplasty and stenting, successfully relieved the aortic obstruction.
  • The case highlights a potential complication of PDA closure devices.

Implications:

  • Avoiding large closure devices in infants may prevent aortic obstruction.
  • Modifying current devices could reduce the risk of iatrogenic aortic coarctation.
  • Transcatheter interventions are effective for managing acquired aortic coarctation.

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