A Treatise on the Surgical Techniques used to close the Adult Persistent Arterial Duct

Authors: Chowdhury UK*, George N, Sukhjeet S, Vishwas M , Kumari SL, Abhinavsingh C, Jhulana KJ, and Gayatri BS

DOI: 10.23880/oajc-16000144

Volume 3, Issue 2

Abstract

The morphologic and physiologic spectrums of late presenters of ductus arteriosus are many and varied. In this systematic review, we give an account of all the cases previously described as adult ductus, analyzing in detail those cases where an accurate antemortem and postmortem anatomical description was provided. We identified 70 investigations and reviewed the anatomic variations of adult ductus arteriosus, diagnostic modalities utilized for identification of ductal morphology and determination of operability, intraoperative findings and the surgical techniques used to close the adult ductus. We have analyzed different non-surgical and surgical approaches utilized for interruption of different types of ductus arteriosus, intraoperative adverse events encountered if any and their perioperative and postoperative course. We submit that an increased appreciation of various types of non-surgical and surgical strategies may contribute to improved patient management.

Keywords: Adult Ductus Arteriosus; Calcified Adult Ductus; Recanalized Ductus Arteriosus; Hypertensive Ductus Arteriosus; Window Ductus Arteriosus; Giant Ductus Arteriosus; Ductal Closure Under Cardiopulmonary Bypass

View PDF