Surgical management of patent ductus arteriosus with endocarditis.

Autor: Kareem BA; Department of Cardiothoracic Surgery, Penang Hospital, Penang, Malaysia. mrbasheerahamed@gmail.com, Kamarulzaman H, Koh GT
Jazyk: angličtina
Zdroj: The Annals of thoracic surgery [Ann Thorac Surg] 2010 Nov; Vol. 90 (5), pp. 1703-5.
DOI: 10.1016/j.athoracsur.2010.04.105
Abstrakt: A 9-year-old boy with patent ductus arteriosus complicated by infective endocarditis had not responded to antibiotic therapy and was referred to our institution. He had persistent fever and a chest roentgenogram demonstrated the presence of left lung pneumonic consolidation. An echocardiogram showed the presence of large vegetation in the pulmonary artery at the ductal opening. We successfully performed an open ductal ligation with the aid of cardiopulmonary bypass through a sternotomy and proceeded to resect the vegetation. We completed the procedure with reconstruction of the pulmonary artery. The postoperative course was uneventful. The patient was discharged after a week.
(Copyright © 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE