Ferreyro-Espinosa K, Salazar-Hernández I, Aguilar-Alapisco K, Monterrubio-Angeles KP, Flores-Calderón O, Ramírez-Castañeda S

Language: English
References: 10
Page: 25-27
PDF size: 180.74 Kb.

ABSTRACT

Objective. To present the long-term outcomes of double ligation management (simple ligation plus transfictive stitch) of patent ductus arteriosus (PDA) in adults at the General Hospital of Mexico. Material. Retrospective, observational and descriptive study, in which all patients with a diagnosis of PDA in adults undergoing surgical treatment by the Cardiothoracic Surgery Department Staff at the General Hospital de Mexico between 2010 and 2020 were included. Results. A total of 33 patients with a diagnosis of PDA in adults were included. 74.19% of the techniques were ligation with a transfictive stitch. The main complications were thoracic duct injury with presentation of chylothorax in one case (3.2%), recurrent laryngeal nerve injury manifested as dysphonia in 2 patients (6.5%). They were presented in the cut and suture technique. Early (30 days) and late (6-24 months) mortality was 0%. Conclusions. Double ligation plus transfictive stitch of the ductus is still a safe and effective option for the treatment of PDA in adults.

REFERENCES

1. Susheel Kumar TK. Surgical management of patent ductus arteriosus. CongenitHeart Dis. 2019;14(1):57-59. doi: 10.1111/chd.12699.

2. Arellano Juarez, Leonardo. (2005). "Persistencia del conducto arterioso: ¿reparacionextrapleural o transpleural?". (Trabajo de grado de especialización). UniversidadNacional Autónoma de México, México. Recuperado de https://repositorio.unam.mx/contenidos/131353.

3. Laborde F, Folliguet T, Batisse A, Dibie A, da-Cruz E, Carbognani D. Video-assistedthoracoscopic surgical interruption: the technique of choice for patent ductusarteriosus. Routine experience in 230 pediatric cases. J Thorac Cardiovasc Surg.1995;110(6):1681-4; discussion 1684-5. doi: 10.1016/S0022-5223(95)70031-5.

4. Gurcun U, Boga M, Badak MI, Ozkisacik EA, Discigil B. Transpulmonary surgicalclosure of patent ductus arteriosus with hypothermic circulatory arrest in anadult patient. Tex Heart Inst J. 2005;32(1):88-90.

5. Crespo E. Conducto arterioso persistente en adultos. Aspectos quirúrgicos. Análisisa 5 años. Posgrado. Universidad Nacional Autónoma de México. 2015.

6. Adult congenital heart disease in the Netherlands guidelines 2000. Working groupcongenital cardiology in adults of the Dutch society of cardiology, 2000. AccessedFeb 03, 2022: https://scholar.google.com/scholar?q=Adult+congenital+heart+disease+in+the+Netherlands+guidelines+2000.+Working+group+congenital+cardiology+in+adults+of+the+Dutch+society+of+cardiology,+2000.+

7. Zarich S, Leonardi H, Pippin J, Tuthill J, Lewis S. Patent ductus arteriosus in theelderly. Chest. 1988;94(5):1103-5. doi: 10.1378/chest.94.5.1103.

8. Wiyono SA, Witsenburg M, de Jaegere PP, Roos-Hesselink JW. Patent ductus arteriosusin adults: Case report and review illustrating the spectrum of the disease.Neth Heart J. 2008;16(7-8):255-259. doi:10.1007/BF03086157.

9. Escribano Subias P, Barberà Mir JA, Suberviola V. Current diagnostic and prognosticassessment of pulmonary Hypertension. Rev Esp Cardiol. 2010;63(5):583-96. doi: 10.1016/s1885-5857(10)70120-1.

10. Mavroudis C, Backer CL, Gevitz M. Forty-six years of patient ductus arteriosusdivision at Children's Memorial Hospital of Chicago. Standards for comparison.Ann Surg. 1994;220(3):402-9; discussion 409-10. doi: 10.1097/00000658-199409000-00016.