Arellano-Ostoa D, Pérez-Lorenzana H, Santiago-Romo JE, Herrera-Patraca E

Language: Spanish
References: 9
Page: 33-39
PDF size: 233.96 Kb.

ABSTRACT

Introduction. In 1993 Laborde introduced for the first time the closure of ductus arteriosus by thoracoscopy. We reviewed our experience in closure of persistent ductus arteriousus (PDA) by thoarcoscopy. The objective for this study was demonstrate that thoracoscopic closure of PDA is an accessible, safe and effective technique.
Material and Methods. A retrospective study was conducted over a period of 3 years, 105 patients with PCA were included, all patients underwent thoracoscopic closure of PDA, the ductus arteriosus diameter was measured by preoperative transthoracic echocardiography from 3 to 9 mm with a mean 6.7 mm, the ages ranged from 9 months to 15 years, with a mean of 5.06 years.
Results. 49 (46.6%) out of 105 patients, were female, 56 (53.3%) were male, and the average age was 4 years, with a range of 7 months to 13 years. Surgical time was 60 minutes to 2 hours with an average of 90 minutes. The morbidity was estimated at 3.8% (4 patients), 2 patients required reoperation because of an aneurysm in the aortic side, 1 had pneumothorax and 1 patient underwent conversion due to bleeding. There were no deaths.
Discussion. Thoracoscopic closure of PDA in ducts with a diameter of 8 or 9 mm can be a reproducible, reliable and effective procedure with better results than conventionalones.

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