Ligation of patent ductus arteriosus in low birth weight premature infants: timing for intervention and effectiveness of bed-side surgery

Journal of Cardiothoracic Surgery

Baran Uğurlu²  Öztekin Oto²  Aslıhan Sökmen²  Çağatay Bilen²  Mustafa Kır³  Fikret Maltepe¹  Kıvanç Metin² 

[1] Department of Anesthesiology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey;Department of Cardiovascular Surgery, Dokuz Eylül University Faculty of Medicine, 35340, Izmir, Turkey;Department of Pediatric Cardiology, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey

关键词: Intensive care unit;    Surgery;    Premature;    Patent ductus arteriosus;   

Others  :  829636
DOI  :  10.1186/1749-8090-7-129

 received in 2012-09-24, accepted in 2012-12-05,  发布年份 2012

【 摘 要 】

Background

Patent ductus arteriosus is a common congenital cardiac condition. Its importance is mostly underestimated and accepted as an “easy” heart disease. Physiological consequences of pulmonary overflow may cause severe mortality in premature neonates. Accurate timing of surgical intervention is essential to decrease the mortality in very low birth weight premature infants. On-site surgery in the intensive care units (ICUs) results excellent surgical quality without jeopardizing the safety of the patients.

Methods

We have summarized the clinical and operative data of 26 premature neonates (<37 weeks of gestational age), which were operated for the diagnosis of PDA in the ICUs of Dokuz Eylül University. Thirteen low birth weight infants (<1000 gr) have been compared with remaining 13 neonates (>1000 gr).

Results

There was no surgical mortality in both groups. Co-existing problems were observed in both groups, which did not affect surgical mortality and morbidity.

Conclusions

Surgery in the ICU is a safe method for premature neonates with physiologically significant PDA. This technique should be the method of choice in experienced centers.

【 授权许可】

   
2012 Metin et al.; licensee BioMed Central Ltd.

【 图 表 】

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