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Ann Thorac Surg 1992;54:164-165
© 1992 The Society of Thoracic Surgeons

Articles

Simplified muscle-sparing thoracotomy for patent ductus arteriosus ligation in neonates

Shreekanth V. Karwande, MD*, John R. Rowles, MD

Division of Cardiothoracic Surgery, Department of Surgery, University of Utah Medical Center, Salt Lake City, Utah USA

Accepted for publication February 28, 1992.

* Address reprint requests to Dr Karwande, Division of Cardiothoracic Surgery, University of Utah Medical Center, 50 North Medical Dr, Salt Lake City, UT 84132.

To reduce operative morbidity we have developed a simplified muscle-sparing thoracotomy that provides excellent exposure for patent ductus arteriosus ligation in neonates. Operative time has not increased and seroma formation has not occurred. Improved functional and cosmetic results as well as less postoperative pain may be obtained by preserving the latissimus dorsi and serratus anterior muscles.




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