Patent Ductus Arteriosus Treatment: Size does Matter
Keywords:
Patent ductus arteriosus, Ductus arteriosus
Abstract
Patent Ductus Arteriosus ( PDA ) is one of the commonest acyanotic congenital heart disease.Surgical or device closure is done when medical management fails.Choice of management depends on size of PDA. A study was conducted to assess the type of surgical technique to be followed either direct ligation or division and suturing.10 Cases of PDA were studied from May 2012 to May 2017 ages ranged from 12 days to five years with youngest weighing 650 grams.There were no postoperative complications and death.In two patients division suturing done and in other eight ligation was done.Repeat 2 D echo after three months did not show recanalization in either group.Conclusion was both techniques are equally effective but division suturing was more difficult than ligation. DOI: 10.21276/AWCH.1803References
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2. Nagre SW (2016) Atrial Septal Defect: Management Approach in Children. Ann
Woman Child Health 2: 3-4
3. Pegoli W. Pericardium and great vessels. In: Oldham KT, Colombiani PM, editors. Principles and Practice of Pediatric Surgery. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2005. p. 1019.et al., editors.
4. Management of Patent Ductous Arteriosus –Short Review ,Annals of Woman and Child Health, Vol. 2; Issue 4: 2016,Nagre S W
5. Miao CY, Zuberbuhler JS, Zuberbuhler JR. Prevalence of congenital cardiac anomalies at high altitude. J Am CollCardiol. 1990;12:224–228.
6. Nagre SW, Nagre MS (2015) Observational Study of Surgical Closure of Ostium Primum Atrial Septal Defect in Thirty Paediatric Patients. Ann Woman Child Health 1: 1-4
7. Nora JJ, Nora AH. Recurrence risks in children having one parent with a congenital heart disease. Circulation.1976;53:701–702.
8. Nagre SW (2017) Atrial Septal Defect – Forgotten Treatment Guidelines. Acute Chronic Diss 1: e101.
9. Pezzati M, Vagni V, Biagiotti R. Effects of indomethacin and ibuprofen on mesenteric and renal blood flow in preterm infants with patent ductusarteriosus. J Pediatr. 1999;135:733–738. et al.
10. Surgical removal of embolised atrial septal defect device from pulmonary artery ,The Journal of thoracic and cardiovascular surgery, ISSN: 1097-685X, Vol: 150, Issue: 4, Page: e55-7 Publication Year: 2015 , http://dx.doi.org/10.1016/j.jtcvs.2015.07.040
Published
2017-12-15
Issue
Section
Original Articles
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