Patent Ductus Arteriosus Ligation in an Infant.

1. ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬
Patent Ductus Arteriosus
Ligation in an Infant
Prof. Abdulsalam Y Taha
College of Medicine
University of Sulaimani
2022 1

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4. Comment
 Patent ductus arteriosus (PDA) is a
persistent communication between the
descending thoracic aorta and the
pulmonary artery that results from
failure of normal physiologic closure of
the fetal ductus [1].
 PDA ligation is a common closed heart
surgery performed in neonates and
infants and complications are minimal
[2]. 4

5. Comment…
 Surgery is the mainstay of treatment
for patent ductus arteriosus (PDA).
Two forms of surgical therapy are
performed: the traditional surgical
approach, which entails a
thoracotomy, and catheter closure.
The traditional surgical approach may
involve ligation, division and over-
sewing, or clip application; the
method of closure used depends on
the size of the PDA and the
experience of the surgeon [1].
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6. Comments…
 Thoracoscopy remains controversial,
with several studies reporting very little
benefit in hospital stay or cost
compared with the muscle-sparing left
lateral thoracotomy approach. Since
both techniques are equally acceptable,
the choice of surgical technique
depends on the surgeon’s preference
[1].
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7. ● Bibliography
[1]
https://emedicine.medscape.com/article
/904895
[2] Vijayakanthi B, Choudhury M, Hote MP,
Kiran U. Patent ductus arteriosus ligation:
Do not take it easy. J Anaesthesiol Clin
Pharmacol. 2013 Oct;29(4):564-6. doi:
10.4103/0970-9185.119138. PMID:
24250006; PMCID: PMC3819863.
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