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Intermittent complete closure of the arterial duct

Published online by Cambridge University Press:  19 August 2008

Massimo Chessa
Affiliation:
The Heart Unit, Birmingham Children's Hospital, Birmingham, UK
Joseph J Vettukattil
Affiliation:
The Heart Unit, Birmingham Children's Hospital, Birmingham, UK
Oliver Stümper*
Affiliation:
The Heart Unit, Birmingham Children's Hospital, Birmingham, UK
*
Dr Oliver Stumper, The Heart Unit, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK Tel +44(0)121 333 9442, Fax +44(0)121 333 9441, E-mail oliver.stumper@bhamchildrens.wmids.nhs.uk

Abstract

Intermittent functional closure of a patent duct has been reported both clinically and echocardio-graphically. We describe the case of a 6-year-old with intermittent complete closure of a patent duct occurring during attempted transcatheter closure. Recurrence of clinical and echocardiographic signs prompted restudy. A patent duct of moderate size was demonstrated and successfully occluded by coil embolization. The interventional aspects of this unusual condition are discussed.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2000

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References

1.Shapiro, W, Said, SI, Nova, PL. Intermittent disappearance of the murmur of patent ductos arteriosus. Circulation 1960; 22: 226231.CrossRefGoogle Scholar
2.Keith, TR, Sagaminaga, S. Spontaneously disappearing murmur of patent ductus arteriosus: a case report. Circulation 1961; 24: 13351338.CrossRefGoogle ScholarPubMed
3.Kohler, CM, McNamara, DG. Elonged patent ductus arteriosus with intermittent shunting. Pediatrics 1967; 39: 446448.CrossRefGoogle Scholar
4.DuBrow, IW, Fisher, E, Hastreiter, A. Intermittent functional closure of patent ductus arteriosus in a 10-month-old infant: haemodynamic documentation. Chest 1975 68: 110113.CrossRefGoogle Scholar
5.Summer, RJ, Gutierrez, A, Lai, WW, Parness, TA. Use of preformed nitinol snare to improve transcatheter coil delivery in occlusion of patent ductus arteriosus. Am J Cardiol 1994 74: 836839.CrossRefGoogle Scholar
6.Raji, V, Presti, S, Danilowicz, D. The intermittent ductus revisited: echocardiographic evidence and successful coil occlusion: a case report and review of literature. Carhet Cardiovasc Diagn 1998; 45: 260263.Google Scholar