青海地区成人巨大型动脉导管未闭腔内隔绝术10例分析（Isolation of giant patent ductus arteriosus in adults in Qinghai area an analysis of 10 cases）.docVIP

青海地区成人巨大型动脉导管未闭腔内隔绝术10例分析（Isolation of giant patent ductus arteriosus in adults in Qinghai area an analysis of 10 cases） Isolation of giant patent ductus arteriosus in adults in Qinghai area: an analysis of 10 cases This article source: paper / Wang Liming Qi Lu Shou Qing Wang Qiang Pang Yunfeng Linzhan Guorong Fu Jianxue Yang Yanping Xu Xiaolong Keywords adult; giant patent ductus arteriosus; endovascular graft exclusion; Our hospital in 1991-2011 were treated with patent ductus arteriosus (PDA) with more than 2600 cases, of which 90%pda diameter 4 ~ 16mm, these patients either interventional or surgical ligation is relatively easy, combined with clinical experience: when children PDA diameter is larger than 16mm, the adult PDA larger than 19mm in diameter by themselves whether interventional or surgical ligation or cardiopulmonary bypass closed the risk and complications were significantly increased, with high morbidity and mortality, for the treatment of such cases in the clinical practice in a dilemma from 1 to 4. The endovascular stent graft technique is safe and reliable, with low risk and complications. It has become the only safe and effective method for the treatment of adult large patent ductus arteriosus. 1~4. In our hospital in December 2010 -2011 December, a total of 10 cases were treated with obvious clinical efficacy, and are hereby reported as follows. 1 clinical information There were 10 cases, 4 males and 6 females, aged 23~42 years, mean (26.4 + 2) years old, weight 47 ~ 56kg, mean (53 + 2.1) kg. All the cases were confirmed by clinical, ECG, X ray and echocardiogram. The left and right shunt were diagnosed as giant patent ductus arteriosus. The diameter of the patent ductus arteriosus was 19 to 26mm, with an average of (23.4 + 2) mm. Check body 2 intercostal space left sternal hear grade II ~ III systolic murmur, pulmonary second sound hyperfunction, including 6 cases of palpable systolic thrill. Among them, there were 5 cases with moderate pulmo