[Single-stage endovascular correction of patent ductus arteriosus and type III aortic dissection].

Abstract

Patent ductus arteriosus in adults is an extremely rare clinical phenomenon, since it is usually discovered and treated during childhood. Presented herein is a case report regarding successful single-stage endovascular treatment of a 66-year-old male patient with newly diagnosed patent ductus arteriosus and type III aortic dissection. High risk of conventional surgical treatment due to systolic myocardial dysfunction and high pulmonary hypertension became the ground for choosing an endovascular approach. The patient underwent endoprosthetic repair of the thoracic aorta in zone 2 according to Ishimaru with endobranching of the left subclavian artery in combination with implantation of an occluder into the Botallian duct. We obtained good immediate and one-year results of the operation as positive remodeling of cardiac chambers, with improved contractility of the left ventricle and normalization of pressure in the pulmonary artery, as well as thrombosis of the false lumen in the thoracic aorta.