PDA Closure in the Presence of a Dilated Main Pulmonary Artery and Ductal Spasm: Importance of Proper Technique and Hardware Selection - Abstract
Transcatheter patent ductus arteriosus (PDA) closure is a device-based technique for correcting PDA. In general, an isolated PDA is easier to close, but conditions such as a smaller PDA, PDA spasm, or a dilated main pulmonary trunk make device closure a significant challenge. More over re-crossing the PDA becomes difficult in situations if there is device size mismatch. This article highlights the management of PDA device closure in a patient with a smaller PDA and a dilated main pulmonary artery due to severe pulmonary stenosis, complicated by ductal spasm. It also emphasizes the importance of selecting the proper
hardware to address this situation effectively.