Key result
A hybrid approach of PDA transcatheter closure and surgical angioplasty of the coronary ostium was successful, leaving the patient symptom-free with no residual shunts at 1 year.
Case Report (n=1)
A hybrid approach combining transcatheter PDA closure and surgical angioplasty of the coronary ostium is a feasible and successful treatment strategy for this unusual clinical presentation.
May support hybrid PDA-coronary intervention in rare cases; leaves open need for prospective data before broader adoption.
Nowadays combination of surgical procedures and interventional cardiology has been increasingly reported in literature for the treatment of coronary artery diseases. To confirm the applicability of such an approach we present a case where several approaches could be considered. A 56-year-old lady with incidental finding of patent ductus arteriosus (PDA) and concomitant left main coronary artery ostium stenosis was scheduled to have PDA transcatheter closure and surgical angioplasty of the coronary ostium. This 'hybrid' approach to such an unusual clinical presentation was successful and at 1 year follow-up the patient is symptoms free and no residual shunts have been detected.
No takes yet. Share an insight, caveat, or question.
Agati et al. (2003) conducted a case report in Patent ductus arteriosus and left main coronary artery ostium stenosis (n=1). Hybrid approach (PDA transcatheter closure and surgical angioplasty of the coronary ostium) was evaluated on Symptoms and residual shunts at 1 year. A hybrid approach of PDA transcatheter closure and surgical angioplasty of the coronary ostium was successful, leaving the patient symptom-free with no residual shunts at 1 year.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: