• 제목/요약/키워드: Ductus arteriosus

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대동맥 협부 발육부전, 동맥관 개존, 대동맥기시 우폐동맥을 동반한 원위 대동맥폐 동맥 중격결손의 일차 완전 교정술 1례 (One-stage Repair of Distal Aortopulmonary Septal Defect, Aortic Origin of Right Pulmonary Artery, Patent Ductus Arteriosus and Hypoplasia of Aortic Isthmus -A case of report-)

  • 이호철;류한영
    • Journal of Chest Surgery
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    • 제29권5호
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    • pp.554-558
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    • 1996
  • 대동맥 협부 발육부전, 동맥관 개존, 대동맥기시 우폐동맥을 동반한 원위 대동맥폐동맥 중격결손을 가진 생후 50일된 여아에서 동맥관 결찰,대동맥 협부 발육부전 부위의 절제와 대동맥의 단단문합,우폐동맥과 주폐동맥의 직접 연결과자가심낭편을이용한대동맥폐동맥 중격결손의 봉합을 포함한 일차 완전 교정술을 인공 체외 순환과 완전 순환 정지하에 시행하여 좋은 수술 결과를 얻었다.

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Prolonged reflex bradycardia after occlusion of patent ductus arteriosus with an Amplatz canine duct occluder in a dog

  • Ro, Woong-Bin;Kang, Min-Hee;Lee, Chang-Min;Kim, Seung-Gon;Park, Hee-Myung
    • 대한수의학회지
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    • 제57권1호
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    • pp.51-54
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    • 2017
  • A 9-month-old intact male Maltese dog (1.52 kg) was diagnosed with a patent ductus arteriosus (PDA). Transcatheter occlusion of the PDA was performed by using the Amplatz canine duct occluder (ACDO). After occlusion, reflex bradycardia occurred and lasted for at least 15 h with normal systolic arterial pressure and slightly increased diastolic arterial pressure. The bradycardia slowly resolved, and the heart rate was normal in re-examinations after 7 and 30 days. This is the first case of reflex bradycardia after ACDO implantation, in which the bradycardia continued for a long time, even after recovery from anesthesia.

PHACE association with intracranial, oropharyngeal hemangiomas, and an atypical patent ductus arteriosus arising from the tortuous left subclavian artery in a premature infant

  • Kim, Do-Hyun;Choi, Jang-Hwan;Lee, Jung-Ha;Kim, Hee-Sup
    • Clinical and Experimental Pediatrics
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    • 제55권1호
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    • pp.29-33
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    • 2012
  • PHACE association is a rare neurocutaneous condition in which facial hemangiomas associate with a spectrum of posterior fossa malformations, arterial cerebrovascular anomalies, cardiovascular anomalies, and eye anomalies. We reported a case of PHACE association in a premature infant showing facial, intracranial, and oropharyngeal hemangiomas with evidence of the Dandy-Walker variant and complicated cardiovascular anomalies, including a right-sided aortic arch and an atypical patent ductus arteriosus arising from a tortuous left subclavian artery. To our knowledge, intracranial hemangiomas are rare in PHACE association, and a concomitant oropharyngeal hemangioma has not been previously reported in the PHACE association literature. In infants presenting with large, plaque-like facial hemangiomas, it is important to conduct active cardiovascular and neurological evaluations. Special attention should be given to the laryngoscopic examination to search for additional hemangiomas in the airway.

좌우단락을 보인 심방중격결손, 심실중격결손 및 동맥관개존을 동반한 폐동맥판막협착증 -1례 보고- (Pulmonary valvular stenosis combined with atrial septal defect, ventricular septal defect and patent ductus arteriosus with left to right shunt: a case report)

  • 정황규
    • Journal of Chest Surgery
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    • 제16권3호
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    • pp.310-315
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    • 1983
  • The combined anomaly of pulmonary stenosis with atrial or ventricular septal defects is usually associated with decreased pulmonary blood flow and right to left shunt, and result in generalized cyanosis. Non-cyanotic pulmonary stenosis patients have generally been considered to have isolated pulmonary stenosis with intact septa. We are going to report a case of pulmonary stenosis with septal defects who have no frank cyanosis at rest because of the predominant intracardiac shunt from left to right. Recently, we managed surgically a case of pulmonary valvular stenosis combined with secundum type atrial septal defect, type II ventricular septal defect, and patent ductus arteriosus. The clinical manifestations of this patient were exertional dyspnea, frequent upper respiratory infection, chest discomfortness and lethargy since late childhood and these had been progressively aggravated. Pulmonary valvular stenosis, atrial septal defect and ventricular septal defect were closed through simply right atriotomy and patent ductus arteriosus through pulmonary arteriotomy. Immediate postoperative course was uneventful and one year follow up is excellent.

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폐동맥고혈압을 동반한 동맥관개존증의 장기관찰 성적 (Late Results of Operation for Patent Ductus Arteriosus with Preoperative Pulmonary Hypertension)

  • 오봉석;조완재;이동준
    • Journal of Chest Surgery
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    • 제22권5호
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    • pp.775-780
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    • 1989
  • This study concerns the late results observed at follow-up[average: 32.5 months] of 23 patients, in whom Patent Ductus Arteriosus with pulmonary hypertension among 55 patients. They were operated from May 1984 to July 1987 in Chonnam University Medical School. There was predominance of woman [2.5:1]. No operative death occurred. All of patients subside preoperative symptoms, but 1 patient diagnosed recannalization of duct at follow-up. Systolic murmur was found over the pulmonary area in 5 patients [22 %], but it may be not related to systolic pulmonary arterial pressure[SPAP]. Also, SPAP were normalized in 74 % of patients and had mild hypertension in 26 % of patients. Although the patients had Patent Ductus Arteriosus with pulmonary hypertension, successful surgical correction was carried out safely in all instance but one, by ligation and facilitated by hypotensive anesthesia.

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Surgical Ligation of Patent Ductus Arteriosus Using the Descending Aortic Approach in Two Dogs

  • Kim, Dae-Hyun;Hong, Sung-Hwa;Myung, Hyunwook;Son, Dong-ju;Nam, Aryung;Jung, Sung-Yong;Hwang, Jung-Yeon;Jee, Hyun-Choul
    • 한국임상수의학회지
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    • 제37권1호
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    • pp.42-45
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    • 2020
  • Surgical ligation is the treatment of the choice in patients with patent ductus arteriosus (PDA). This case series presents two cases of PDA, one with and one without persistent left cranial vena cava (PLCVC), treated with surgical ligation through the descending aortic approach with mini-thoracotomy. There were no specific complications during the surgical procedures. The descending aortic approach would be an alternative method for dissection of the PDA.

Practice for preterm patent ductus arteriosus; focusing on the hemodynamic significance and the impact on the neonatal outcomes

  • Lee, Jin A
    • Clinical and Experimental Pediatrics
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    • 제62권7호
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    • pp.245-251
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    • 2019
  • Hemodynamically significant preterm patent ductus arteriosus (PDA) affects mortality; comorbidities such as necrotizing enterocolitis, intraventricular hemorrhage, and bronchopulmonary dysplasia; and adverse long-term neurodevelopmental outcomes in preterm infants, particularly in very low birth weight infants. However, recent studies have indicated that there is no consensus on the causal relationship between PDA and neonatal outcomes, the benefit of PDA treatment, the factors guiding the need for treatment, and optimal treatment strategies. Such uncertainty has resulted in wide variations in practice for treating preterm PDA between units, regions, and nations. Nowadays, there has been a paradigm shift to more conservative treatment for preterm PDA, and suggestions regarding selective management of preterm PDA considering risk factors and hemodynamic significance are increasing. Neonatologist-performed echocardiography and advances in modalities to assess hemodynamic significance such as biologic markers and near-infrared spectroscopy also help improve the efficacy of selective treatment of preterm PDA.

Solitary patent ductus arteriosus in a Japanese macaque (Macaca fuscata)

  • Young-Jin Jang;Byung-Yong Park;Hyun-Jin Tae;Jeoungha Sim;Dongchoon Ahn
    • 한국동물위생학회지
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    • 제46권4호
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    • pp.363-368
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    • 2023
  • Patent ductus arteriosus (PDA) in monkeys is very rare. A 9-year-old male Japanese macaque (Macaca fuscata) had an hourglass-shaped PDA with a large luminal diameter. Morphological analysis of the vessel cast and heart revealed cardiovascular pathological changes including pulmonary artery hypertension and right ventricular hypertrophy. However, left ventricle hypertrophy or left atrial enlargement were not observed. This macaque had showed no clinical signs of PDA during its lifetime. We present the first documented case of solitary PDA in a male macaque.

세균성 심내막염에 의한 폐색전증이 동반된 동맥관 개존증의 수술치험 -1례 보고- (Surgical Treatment of Persistent Ductus Arteriosus Complicated by Bacterial Endocarditis with Pulmonary Artery Embolism 1 case report)

  • 오정우;오봉석;이동준
    • Journal of Chest Surgery
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    • 제30권2호
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    • pp.209-212
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    • 1997
  • 15세 남자환자가 갑자기 발생한 흉통과 각혈, 호흡곤란을 주소로 본원 응급실로 내원하였다. 환자는 동맥관 개존증 및 감염성 심내막염띠 합병된 폐색전증으로진단되었다. 3주간 적절한 항생제 치료를 한 후 체외순환하에 동맥관 개존증 패취봉합 및 폐동맥 판막 성형술을 시행하였다. 이후 환자는 순조롭게 회복되어 퇴원 하였다. 동맥관 개존증에 합병된 급성심내막염으로 폐동맥 혈전증이 발생한 환자를 수술 치험하여 좋은 결과를 얻었기 에 보고하는 바이다.

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대동맥축착 동맥관개존 좌공정맥을 합병한 다발성혈관기형의 수술치험예 (Successful Correction of Coarctation of the Aorta, the Patent Ductus Arteriosus, and Persistent Left Superior Vena Cava)

  • 김근호
    • Journal of Chest Surgery
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    • 제7권1호
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    • pp.93-100
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    • 1974
  • This is a case report of successful surgical correction of coarctation of the aorta associated with the patent ductus arteriosus and the persistent left superior vena cava. The patient was a 15 year old girl and congenital heart anomaly was suspected at the sixth month after birth. Afterward there has been no embarrassing symptoms until the day of operation except slight dyspnea on exertion, The diagnosis of coarctation of the aorta and the patent ductus arteriesus detected by physical signs and X-ray studies including aortography. In the first place, coarctation of the aorta was corrected with following procedure: partial resections of the aortic wall just above and below the coarctating line of the aorta and removal of diaphragmatic structure of coarctation performed by. cross clamping aorta above and below coarctation, and then the defect of the aortic wall was closed by lateral aortorrhapic suture with atraumatic needle 3-0 silk continuously [Fig. 6]. In the second place, the patent ductus arteriosus was closed with double ligation method. The persistent left superior vena cava left as it has been, because there has been no evidence of hemodynamic abnormal shunt. After operation, excellent result was obtained; blood pressure in the upper and lower extremities was normalized and subjective complains of hypertension in the upper extremity was disappeared.

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