1. Combined Aortic Valve Replacement and Closure of Patent Ductus Arteriosus in the Elderly
- Author
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John P. Visco, Joseph D. Whitlark, and Thomas Z. Lajos
- Subjects
Male ,Pulmonary and Respiratory Medicine ,Cardiac Catheterization ,congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_specialty ,health care facilities, manpower, and services ,medicine.medical_treatment ,education ,Coronary Angiography ,Aortic valve replacement ,health services administration ,Internal medicine ,Ductus arteriosus ,medicine.artery ,medicine ,Humans ,Ductus Arteriosus, Patent ,Aged ,Cardiac catheterization ,business.industry ,Age Factors ,Aortic Valve Stenosis ,medicine.disease ,Stenosis ,medicine.anatomical_structure ,Aortic valve stenosis ,Heart catheterization ,Pulmonary artery ,cardiovascular system ,Cardiology ,Subacute bacterial endocarditis ,Female ,Surgery ,Cardiology and Cardiovascular Medicine ,business - Abstract
Two cases of patent ductus arteriosus (PDA) and aortic stenosis are presented. Both were diagnosed at routine cardiac catheterization and significant aortic gradient was concomitantly encountered. The first patient had subacute bacterial endocarditis due to B. cereus infection. Eventually it was proven to be localized on the PDA on the pulmonary artery side. Both patients underwent closure of PDA through endopulmonary closure and aortic valve replacement. Postoperative courses were uneventful. These cases demonstrated the technically easy closure of the PDA in the elderly. The literature has documented only six cases including our two cases.
- Published
- 1994
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