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Surgical Therapy for Patent Arterial Duct and Vascular Rings

  • Carl L. Backer
  • Constantine Mavroudis
Chapter

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.

Keywords

Patent arterial duct PAD Surgical ligation Vascular ring Transcatheter techniques Pulmonary artery sling 

Abbreviations

AAo or Asc

Ascending aorta

Ao

Aorta

DAo

Descending aorta

INN A

Innominate artery

L arch

Left arch

L ductus

Left arterial duct

L INN V

Left innominate vein

LC or LCA

Left carotid artery or left carotid artery

LCCA

Left common carotid artery

LPA

Left pulmonary artery

LSA

Left subclavian artery

MPA

Main pulmonary artery

PA

Pulmonary artery

PAD

Patent arterial duct

PDA

Patent ductus arteriosus

PTFE

Polytetrafluoroethylene

R arch

Right arch

R ductus

Right arterial duct

RA

Right atrium or right arch

RC or RCA

Right carotid artery or right carotid artery

RCCA

Right common carotid artery

RPA

Right pulmonary artery

RSA

Right subclavian artery

RV

Right ventricle

RVOT

Right ventricle outflow tract

SCV

Superior caval vein

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Carl L. Backer
    • 1
  • Constantine Mavroudis
    • 2
  1. 1.Professor of Surgery, Division of Cardiovascular-Thoracic SurgeryNorthwestern University Feinberg School of Medicine, Ann and Robert H. Lurie Children’s Hospital of ChicagoChicagoUSA
  2. 2.Professor of SurgeryJohns Hopkins University School of Medicine, Johns Hopkins All Children’s HospitalSt. PetersburgUSA

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