Surgical Therapy for Patent Arterial Duct and Vascular Rings

Abstract

Today, it is extremely rare for an adult patient to present with a patent arterial duct (PAD). Moreover, when such a patient is identified, the preferred and initial treatment involves transcatheter device closure. Surgical options are reserved for complications of endocarditis (see Chap. 16), aneurysm formation, and failure of device closure. The surgeon, therefore, may be called on to treat PAD in the adult as the only lesion or in association with other congenital heart defects.

Figure Credits

• Figs. 3.1, 3.3–3.18, 3.37, 3.43, 3.44, 3.49: Backer CL. Vascular rings, tracheoplasty, and pulmonary artery sling. In: Mavroudis C, Backer CL, editors. Atlas of Pediatric Cardiac Surgery. London: Springer-Verlag; 2015. p. 45–72. (Reproduced with permission from Springer Nature).

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• Figs. 3.19–3.22, 3.39: Reproduced from Backer CL, Mavroudis C, Stewart RD, Holinger L. Congenital anomalies: vascular rings. In: Patterson GA, Pearson FG, Cooper JD, Deslauriers J, Rice TW, Luketich JD, Lerut AE, editors. Pearson’s Thoracic and Esophageal Surgery, 3rd ed. Philadelphia: Churchill Livingstone Elsevier; 2008. p. 242–255.

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• Figs. 3.29, 3.30, 3.36: Backer CL, Mavroudis C. Vascular rings and pulmonary artery sling. In: Mavroudis C, Backer CL, editors. Pediatric Cardiac Surgery. 4th ed. Hoboken: John Wiley & Sons; 2013. p. 234–255. (Reproduced with permission from John Wiley & Sons).

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• Figs. 3.34, 3.35: Backer CL, Hillman N, Mavroudis C, Hollinger LD. Resection of Kommerell’s diverticulum and left subclavian artery transfer for recurrent symptoms after vascular ring division. Eur J Cardiothoracic Surg. 2002;22:64–69. (Reproduced with permission from Elsevier).

• Fig. 3.40: Backer CL, Mavroudis C. Vascular rings and pulmonary artery sling. In: Mavroudis C, Backer CL (eds): Pediatric Cardiac Surgery, 3rd ed. Philadelphia: Mosby; 2003. p. 234–250. (Reproduced with permission from Elsevier).

• Figs. 3.45–3.48: Backer CL, Russell HM, Kaushal S, Rastatter JC, Rigsby CK, Holinger LD. Pulmonary artery sling: current results with cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2012;143:144–151. (Reproduced with permission from Elsevier).