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Ann Thorac Surg 1998;66:277-278
© 1998 The Society of Thoracic Surgeons

How to Do It

Closure of short, wide patent ductus arteriosus with cardiopulmonary bypass and balloon occlusion

Bassam O. Omari, MDa, Shelly Shapiro, MDb, Leonard Ginzton, MDb, Jeffrey C. Milliken, MDa, Fritz J. Baumgartner, MDa

a Division of Cardiothoracic Surgery, Harbor-UCLA Medical Center, Torrance, California, USA
b Division of Cardiology, Harbor-UCLA Medical Center, Torrance, California, USA

Accepted for publication March 2, 1998.

Address reprint requests to Dr Baumgartner, Pacific Cardiothoracic Surgery Group, St. John’s Medical Center, 1700 N Rose Ave, #440, Oxnard, CA 93030

The wide, short patent ductus arteriosus in adults and older adolescents poses an extreme hazard with standard closed ligation techniques. The method of transpulmonary balloon catheter occlusion and repair of pediatric ductus arteriosus is herein reported in older patients using a Foley catheter and normothermic bypass. Transesophageal echocardiography is crucial in assessing the size of the ductus and confirming adequacy of repair. The technique is simple and safe even in the presence of a wide, short ductus.




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