Successful Transcatheter PDA Device Closure in an Adult with Retrograde Wiring and Antegrade Snaring Approach
Aditya Gupta *
Department of Cardiology, Grant Government Medical College and Sir JJ group of Hospitals, Mumbai, India.
Gurkirat Singh
Department of Cardiology, Grant Government Medical College and Sir JJ group of Hospitals, Mumbai, India.
Vishal Patil
Department of Cardiology, Grant Government Medical College and Sir JJ group of Hospitals, Mumbai, India.
Rahul Singla
Department of Cardiology, Grant Government Medical College and Sir JJ group of Hospitals, Mumbai, India.
Akshat Jain
Department of Cardiology, Grant Government Medical College and Sir JJ group of Hospitals, Mumbai, India.
Narendra Omprakash Bansal
Department of Cardiology, Grant Government Medical College and Sir JJ group of Hospitals, Mumbai, India.
*Author to whom correspondence should be addressed.
Abstract
Patent ductus arteriosus accounts for 5 – 10% of all congenital heart disease in children. Currently, transcatheter closure is standard of care. Device closure in PDA is usually done by an antegrade technique where PDA is crossed from the PA side. In some patients, this universal procedure may not be successful due to anatomical differences. In such patients, the retrograde technique with retrograde wiring and antegrade snaring approach followed by PDA device closure may be used successfully to close PDA. We report such a case of difficult PDA device closure where the antegrade technique was not successful and PDA device closure was completed by retrograde approach.
Keywords: Congenital heart disease, patent ductus arteriosus, device closure.