Open Repair for Patent Ductus Arteriosus Aneurysm in an Adult

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  • Kise Yuya
    Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
  • Kuniyoshi Yukio
    Department of Cardiovascular Surgery, Urasoe General Hospital
  • Higa Syotaro
    Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
  • Ando Mizuki
    Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
  • Maeda Tatuya
    Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
  • Inafuku Hitoshi
    Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus
  • Nakaema Moriyasu
    Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus

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<p>Ductus arteriosus aneurysm (DAA) is rarely encountered in adults. There have been several hypotheses regarding its origin and potential indications for intervention in asymptomatic cases. If left untreated, rupture, compression of surrounding organs, and serious complications due to thromboembolism may occur, and aggressive surgical intervention appears desirable for patients who can tolerate surgery. We report a case involving a 30-mm, saccular, patent DAA that was incidentally discovered in a 49-year-old man on computed tomography. Open repair was performed by femorofemoral bypass assistance, which allowed decompression of the aorta and aneurysm and successful closure of the aortic and pulmonary artery ends.</p>

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