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Surgical Closure of Adult Patent Ductus Arteriosus Using a Pursestring Suture

Department of Cardiac Surgery, Asahi General Hospital, Chiba, Japan

For reprint information contact: Hirotaka Inaba, MD, Tel: 81 479 638 111, Fax: 81 479 638 580, Email: hinaba-circ{at}umin.ac.jp, Department of Cardiac Surgery, Asahi General Hospital, I-1326 Asahi-shi, Chiba 289-2511, Japan.

A 52-year-old woman with patent ductus arteriosus underwent transpulmonary surgical closure through a median sternotomy. The procedure was performed under cardiopulmonary bypass with normothermia and a beating heart, using transductal balloon occlusion and a pursestring suture around the orifice of the ductus. The use of a pursestring suture allowed minimization of the risk of balloon breakage, obviated the need for profound hypothermia and circulatory arrest, and greatly increased the technical facility of the procedure.