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

This Article Full Text 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): Serafin Y. DeLeon Roque Pifarre Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Miles, R. H. Articles by Pifarre, R. Search for Related Content PubMed PubMed Citation Articles by Miles, R. H. Articles by Pifarre, R.

Ann Thorac Surg 1995;59:668-670
© 1995 The Society of Thoracic Surgeons

Safety of Patent Ductus Arteriosus Closure in Premature Infants Without Tube Thoracostomy

Departments of Thoracic-Cardiovascular Surgery and Pediatrics, Loyola University Medical Center, Maywood, Illinois

Accepted for publication November 16, 1994.

During a 30-month period, 34 premature infants underwent surgical closure of a patent ductus arteriosus. The mean gestational age at birth was 25 ± 0.3 weeks and the mean age at the time of operation was 3 ± 0.3 weeks (mean weight, 829 ± 54 g). Indomethacin therapy had failed in 32 patients, and 2 had contraindications to its use. The initial 8 patients had parascapular incision and ligation of the patent ductus arteriosus; the last 26 patients had a short transaxillary incision and clipping. The average duration of the operation from the time of incision to skin closure was 36 ± 2 minutes (range, 15 to 65 minutes). One patient (3%) needed chest tube insertion intraoperatively because of visceral pleura disruption. Two patients (5.8%) had a ``small pneumothorax'' (<10% of the lung field) that resolved within 24 hours. There was no morbidity or mortality directly related to the operative procedure, although 3 patients (8.8%) ultimately died from problems related to their severe prematurity. We conclude that surgical closure of patent ductus arteriosus without chest tube drainage can be accomplished safely in premature infants. Postoperative nursing care is simplified and the cost is reduced because the need for the chest tube and drainage system is eliminated and the number of chest radiograms needed postoperatively is reduced.

This article has been cited by other articles:

				W. V. A. Vicente, A. J. Rodrigues, P. J. F. Ribeiro, P. R. B. Evora, A. C. Menardi, C. A. Ferreira, L. Alves Jr, and S. Bassetto Dorsal minithoracotomy for ductus arteriosus clip closure in premature neonates Ann. Thorac. Surg., March 1, 2004; 77(3): 1105 - 1106. [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]

				J. A. Hawkins, L. L. Minich, L. Y. Tani, J. E. Sturtevant, G. S. Orsmond, and E. C. McGough COST AND EFFICACY OF SURGICAL LIGATION VERSUS TRANSCATHETER COIL OCCLUSION OF PATENT DUCTUS ARTERIOSUS J. Thorac. Cardiovasc. Surg., December 1, 1996; 112(6): 1634 - 1639. [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]

				C. M. R. Satur, S. S. Ashraf, D. R. Walker, S. Y. DeLeon, J. Hofstra, and J. A. Quinones Ductus Arteriosus Ligation Without a Tube Thoracostomy Ann. Thorac. Surg., November 1, 1995; 60(5): 1459 - 1460. [Full Text]