Esophageal Stethoscope in Thoracoscopic Interruption of Patent Ductus Arteriosus
| Autor: | Mahdi Kahrom, Hadi Kahrom |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent medicine.medical_treatment Esophagus Residual flow Monitoring Intraoperative Internal medicine Ductus arteriosus medicine Humans Direct monitoring cardiovascular diseases Child Ductus Arteriosus Patent Retrospective Studies Thoracic Surgery Video-Assisted business.industry Ductus arteriosus closure Stethoscopes Infant Newborn Infant Reproducibility of Results Equipment Design General Medicine Clipping (medicine) Surgery Esophageal stethoscope Heart Sounds medicine.anatomical_structure Cardiac Murmurs Child Preschool Heart sounds cardiovascular system Cardiology Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Asian Cardiovascular and Thoracic Annals. 16:288-291 |
| ISSN: | 1816-5370 0218-4923 |
| DOI: | 10.1177/021849230801600406 |
| Popis: | There is a significant rate of residual or recurrent ductal patency after video-assisted thoracoscopic closure of patent ductus arteriosus. Between February 2000 and October 2004, this procedure was carried out on 145 consecutive patients in whom heart sounds were monitored intraoperatively with an esophageal stethoscope. Changes in continuous cardiac murmurs were recorded after placing the 1st and 2nd vascular clips. There was no ductal flow after clipping twice in 138 (95%) patients; in the other 7, residual flow was abolished at the 3rd attempt. All patients left the operating room with no residual ductal patency on echocardiography. After 6 months, there was no incidence of residual patency. Intraoperative esophageal stethoscopy provides remarkably loud and clear heart sounds for direct monitoring and reliable evaluation of the entire course of thoracoscopic patent ductus arteriosus closure, without interrupting the surgical procedure, thus avoiding re-intervention and complications associated with residual ductal flow. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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