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

This Article Full Text Full Text (PDF) 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 Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Nezafati, M. H. Articles by Hamedanchi, A. Search for Related Content PubMed Articles by Nezafati, M. H. Articles by Hamedanchi, A. Related Collections Congenital - acyanotic

Video-Assisted Thoracoscopic Surgical Closure of Patent Ductus Arteriosus: 300 Cases

Department of Cardiovascular Surgery 2 Department of Pediatric Cardiology Ghaem Hospital Medical Center Mashhad University of Medical Sciences Mashhad, Iran 1 Department of Cardiology Imam Reza Hospital Medical Center Mashhad University of Medical Sciences Mashhad, Iran
For reprint information contact: Mohammad Hassan Nezafati, MD Tel: 98 511 842 9735 Fax: 98 511 843 9595 email: nezafati{at}mums.ac.ir Department of Cardiovascular Surgery, Ghaem Hospital Medical Center, Mashhad University of Medical Sciences, Ahmad-Abad AV, P.O. Box 155, Mashhad 91735, Iran.

From June 1997 to October 2000, 300 consecutive patients (mean age, 6 years) with patent ductus arteriosus recognized by echocardiography and/or cardiac catheterization underwent video-assisted thoracoscopic surgery. Under general anesthesia, three 5-mm holes were made in the left thoracic wall. A video camera and specialized surgical devices were introduced. The ductus was dissected and 2 titanium clips were applied for complete closure of the ductus. Exclusion criteria were: diameter of the ductus > 9 mm; complicated patent ductus arteriosus (aneurysm formation, endocarditis, or calcification); and pleural adhesion or a previous left-sided thoracic operation. All cases were reassessed immediately after the procedure, and followed up by echocardiography. No residual shunt was recorded. The procedure was changed to a thoracotomy in 3 adults due to inappropriately dilated canal (> 9 mm); 2 others developed transient recurrent laryngeal nerve dysfunction. Mean procedure time was 20 ± 2 minutes. All patients were discharged shortly after the procedure (at approximately 20 hours). The results indicate that video-assisted thoracoscopic surgery was superior to other techniques of ductal closure.

This article has been cited by other articles:

				M. H. Nezafati, G. Soltani, and A. Vedadian Video-Assisted Ductal Closure With New Modifications: Minimally Invasive, Maximally Effective, 1,300 Cases Ann. Thorac. Surg., October 1, 2007; 84(4): 1343 - 1348. [Abstract] [Full Text] [PDF]

				E. Villa, F. V. Eynden, E. Le Bret, T. Folliguet, and F. Laborde Paediatric video-assisted thoracoscopic clipping of patent ductus arteriosus: experience in more than 700 cases Eur. J. Cardiothorac. Surg., March 1, 2004; 25(3): 387 - 393. [Abstract] [Full Text] [PDF]