The possibilities of occlusion of patent ductus arteriosus botalli during invasive dignostic procedures

The authors report the case of a 14 month old girl with patent ductus arteriosus born from the first, uncomplicated and regulary controlled pregnancy. At 13 months of age a continuous murmur was diagnosed. Doppler echocardiography confirmed patent ductus Botalli and she underwent an operation (because of her age) at the Pediatric Hospital G. Pasquinucci in Massa e Carrara, Italy. During aortography, closure of the ductus arteriosus with large and short infundibulum (dimension 2,0 mm in diameter) was performed with a Gianturco coil (size 5 mm). Procedure was well tolerated and successful. Control Doppler echocardiography revealed normal flow without a shunt.