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Asian Cardiovasc Thorac Ann 2001;9:275-278
© 2001 Asia Publishing EXchange Pte Ltd

ORIGINAL CONTRIBUTION

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

Mohammad Hassan Nezafati, MD, Seyed Hassan Hashemian, MD1, Eftekhar Mahmoodi, MD2, Ali Hamedanchi, MD1

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.




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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.
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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.
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