HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Michael E. Gorton Ronald K. Grooters Kent C. Thieman Robert F. Schneider Hooshang Soltanzadeh Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Coster, D. D. Articles by Soltanzadeh, H. Search for Related Content PubMed PubMed Citation Articles by Coster, D. D. Articles by Soltanzadeh, H.

Ann Thorac Surg 1989;48:386-389
© 1989 The Society of Thoracic Surgeons

---

Articles

Surgical Closure of the Patent Ductus Arteriosus in the Neonatal Intensive Care Unit

Department of Surgery, Iowa Methodist Medical Center, Des Moines, Iowa

Accepted for publication May 31, 1989.

^* Address reprint requests to Dr Coster, Iowa Methodist Medical Center, 1200 Pleasant, Des Moines, IA 50309

Efficacy of surgical closure versus indomethacin for treatment of patent ductus arteriosus in symptomatic neonates is an ongoing controversy. In recent years, surgical closure has been performed in the neonatal intensive care unit rather than the operating room in some centers, creating further controversy. In a retrospective study of the charts of 115 sequential patent ductus arteriosus surgical closures performed in the neonatal intensive care unit in premature infants, we found no surgical morbidity or mortality. Ninety-nine of these infants of less than 33 weeks gestational age were evaluated for various factors that might influence outcome. All were operated on within 72 hours of diagnosis, with an extrapleural approach and metal clips used for closure of the ductus. All infants were extubated at an average of 33 weeks in each age group studied unless they had underlying severe bronchopulmonary dysplasia. We conclude that surgical closure of the symptomatic patent ductus arteriosus in neonates is safe and 100% effective, with none of the reported complications of indomethacin therapy, and should be the treatment of choice in neonates aged less than 33 weeks (gestational age) at birth with symptomatic patent ductus arteriosus. Closure performed in the neonatal intensive care unit eliminates transport risks and is ultimately safer and easier than transport to an operating room.

This article has been cited by other articles:

				A. F. EL-Khuffash, M. Slevin, P. J. McNamara, and E. J. Molloy Troponin T, N-terminal pro natriuretic peptide and a patent ductus arteriosus scoring system predict death before discharge or neurodevelopmental outcome at 2 years in preterm infants Arch. Dis. Child. Fetal Neonatal Ed., March 1, 2011; 96(2): F133 - F137. [Abstract] [Full Text] [PDF]

				S. Jaillard, B. Larrue, T. Rakza, E. Magnenant, H. Warembourg, and L. Storme Consequences of Delayed Surgical Closure of Patent Ductus Arteriosus in Very Premature Infants Ann. Thorac. Surg., January 1, 2006; 81(1): 231 - 234. [Abstract] [Full Text] [PDF]

				B. Korbmacher, S. Lemburg, N. Zimmermann, H. Stannigel, E. Godehardt, A. Heusch, J. D. Schipke, and E. Gams Management of the persistent ductus arteriosus in infants of very low birth weight: early and long-term results Interact CardioVasc Thorac Surg, September 1, 2004; 3(3): 460 - 464. [Abstract] [Full Text] [PDF]

				D. S. Gould, L. M. Montenegro, J. W. Gaynor, S. P. Lacy, R. Ittenbach, P. Stephens, J. M. Steven, T. L. Spray, and S. C. Nicolson A Comparison of On-Site and Off-Site Patent Ductus Arteriosus Ligation in Premature Infants Pediatrics, December 1, 2003; 112(6): 1298 - 1301. [Abstract] [Full Text] [PDF]

				S. S. Li, S. A. Xu, Y. R. Zheng, and X. W. Zhao Surgical Interruption of Patent Ductus Arteriosus in Children Asian Cardiovasc Thorac Ann, March 1, 1998; 6(1): 34 - 36. [Abstract] [Full Text] [PDF]

				A. W D Gavilanes, E. Heineman, M. J H M Herpers, C. E Blanco;, and D. BURGE Use of neonatal intensive care unit as a safe place for neonatal surgery • Commentary Arch. Dis. Child. Fetal Neonatal Ed., January 1, 1997; 76(1): 51F - 53. [Abstract] [Full Text]

				F. Laborde, T. Folliguet, A. Batisse, A. Dibie, E. Da-Cruz, D. Carbognani, and S. b. J. N. Cunningham VIDEO-ASSISTED THORACOSCOPIC SURGICAL INTERRUPTION: THE TECHNIQUE OF CHOICE FOR PATENT DUCTUS ARTERIOSUSRoutine experience in 230 pediatric cases J. Thorac. Cardiovasc. Surg., December 1, 1995; 110(6): 1681 - 1685. [Abstract] [Full Text]