Video-assisted thoracoscopic ligation of patent ductus arteriosus: safe and outpatient
| Autor: | D. Glenn Pennington, Michael H. Hines, Andrew S Bensky, John W Hammon |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Adolescent medicine.medical_treatment Video Recording Ductus arteriosus medicine Thoracoscopy Intubation Humans cardiovascular diseases Thoracotomy Ligature Child Ductus Arteriosus Patent Ligation Retrospective Studies medicine.diagnostic_test business.industry Ductus arteriosus closure Infant Newborn Infant Endoscopy Middle Aged Surgery Chest tube medicine.anatomical_structure Treatment Outcome Cardiothoracic surgery Anesthesia Child Preschool cardiovascular system Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of thoracic surgery. 66(3) |
| ISSN: | 0003-4975 |
| Popis: | Background . Minimally invasive techniques for interruption of patent ductus arteriosus have been reported, but are in use at only a few centers. We examined our series of patients who underwent thoracoscopic patent ductus arteriosus ligation. Methods . We reviewed 59 consecutive patients, age 6 days to 50 years, weighing 640 g to 62 kg, who underwent video-assisted placement of a stainless steel clip across the patent ductus arteriosus. Results . Thirty-eight nonneonates and 21 neonates (18 were ≤1,500 g) underwent video-assisted thoracic surgery for patent ductus arteriosus closure with intraoperative echocardiographic confirmation in nonneonates. There were no residual shunts, transfusions, chylothoraces, or significant pneumothoraces. Four were converted to thoracotomy, 3 for anatomic variances, and 1 for coagulopathy. Thirty-six of 38 nonneonate patients stayed less than 24 hours; 18 were discharged the evening of the operation. Two were admitted, one after thoracotomy, and one for a small mucosal intubation injury. No others required a chest tube. There were two recurrent nerve injuries. All neonates survived, and were extubated. Conclusions . Video-assisted thoracoscopic ductus closure is a safe, reliable technique and can be performed as an outpatient procedure in nonneonate patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|