Video-Assisted Thoracoscopic Surgery for Patent Ductus Arteriosus: 6 cases report.
- Author:
Chan Beom PARK
1
;
Jong Bum KWON
;
Yong Soon WON
;
Kuhn PARK
;
Kyu Ho PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Catholic University Medical College, Daejon St. Mary' s Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Ductus atreriosus, patent;
Thoracoscopy
- MeSH:
Ductus Arteriosus;
Ductus Arteriosus, Patent*;
Echocardiography;
Endocarditis, Bacterial;
Hemolysis;
Hoarseness;
Humans;
Length of Stay;
Pain, Postoperative;
Pneumothorax;
Rupture;
Thoracic Surgery, Video-Assisted*;
Thoracoscopy;
Thoracotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(4):351-355
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Surgical interruption through a left posterolateral thoracotomy and percutaneous transcatheter closure of ductus arteriosus were popular procedures of treatment. However, concerns over postthoracotomy syndrome and postoperative pain and complications such as persistent shun-ting, hemolysis, possible migration, and problem of prophylaxis against bacterial endocarditis in residual shunt were reported. Therefore, we present our procedure using video-assisted thoracoscopy for PDA clipping. 6 patients underwent video assisted-thoracoscopic clipping of PDA, but one case was converted into minithoracotomy. Postoperative examination showed the absence of murmur and decreased pulmonary vascularities progressively in all patients. In our series, we had no cases of ductal rupture during operation, incomplete ductal closure, pneumothorax, or hoarseness. Mean hospital stay was 3.4days. Postoperative echocardiography revealed no cases of ductal patency or residual shunt. We concluded that the technique described here is an effective procedure in view of the prevention of postthoracotomy syndrome, successful closure of ductus, cosmetic effect, and a short hospital stay.
