case_images: PMC10469619_01
case_images: Cardiac CT in sagittal view shows a large PDA (20.2 mm) with a dilated pulmonary artery. CT, computed tomography; PDA, patent ductus arteriosus.
case_images: fcvm-10-1218158-g001.jpg
case_images: PMC10469619_01_fcvm-10-1218158-g001.jpg
case_images: F1
case_images: Following contrast-enhanced computed tomography (CT), it was found that the patient has a 20.2 mm PDA (Figure 1), which originates from the descending aorta, and 7 mm distal to the orifice of the left subclavian artery (LSA).
case_images: (A) Custom-made device. (B) Aortography after TEVAR revealed complete closure of PDA without any endoleaks. PDA, patent ductus arteriosus; TEVAR, thoracic endovascular aortic repair.
case_images: fcvm-10-1218158-g002.jpg
case_images: PMC10469619_01_fcvm-10-1218158-g002.jpg
case_images: F2
case_images: The patient underwent a zone 2 deployment of a TEVAR graft with the coverage of the LSA. Echocardiography and aortography after TEVAR showed complete closure of PDA without any endoleaks (Figure 2). The post-surgical period was uneventful, and the patient was discharged two days after the procedure with no major complications, taking interpulmonary hypertensive drugs.
case_images: CT angiography after one month showed no endoleak with complete occlusion of PDA shunt. CT, computed tomography; PDA, patent ductus arteriosus.
case_images: fcvm-10-1218158-g003.jpg
case_images: PMC10469619_01_fcvm-10-1218158-g003.jpg
case_images: F3
case_images: One month after TEVAR, CT angiography was performed that revealed complete occlusion of PDA with no endoleaks (Figure 3).