Patients with a large patent ductus arteriosus (PDA) can have several presentations. Many will be asymptomatic, some could develop severe pulmonary hypertension, and others can develop Eisenmenger syndrome. We have presented a case in which a PDA correction device was embolized to the abdominal aorta, 2?months after transcatheter closure of a large PDA. The patient presented with an acute abdomen. In the management of the case, we implemented a hybrid technique in the process of device retrieval. Transbrachial access and a lower abdominal midline incision were accomplished to dislodge the device from the supraceliac aorta to the aortic bifurcation. The Amplatzer Ductal Occluder (St Jude Medical Inc, St Paul, Minn) was extracted through a small arteriotomy of the distal abdominal aorta. The procedure was followed by a dramatic improvement of the ischemic liver and bowel, evidenced by the vanishing of the?cyanotic hue of the liver and normalization of the bluish discoloration of the intestine.
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机译:患有大型专利导管蛛网(PDA)的患者可以有几个演示。许多人会无症状,有些人会产生严重的肺动脉高压,其他人可以发展艾森梅格综合症。我们提出了一种案例,其中PDA校正装置被栓塞到腹主动脉,2?经截面闭合在大型PDA后的经截面。患者呈现出急性腹部。在案例的管理中,我们在设备检索过程中实施了混合技术。完成了跨晶进入和下腹部中线切口,以使装置从Supraceliac主动脉脱落到主动脉分叉的装置。通过远端腹主动脉的小动脉术,提取了Amplatzer导管封堵器(St Jude Medical Inc,St Paul,Minn)。该程序之后是缺血性肝脏和肠道的显着改善,通过消失的肝脏氰化色调和肠道变色的正常化证明。
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