1999
DOI: 10.1007/s11936-999-0029-1
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Patent ductus arteriosus

Abstract: In the absence of irreversible pulmonary hypertension, closure of clinically detectable patent ductus arteriosus (PDA) is usually recommended in adults. Device closure obviates the need for general anesthesia and a surgical incision and eliminates postoperative pain, long convalescence, and lifelong scarring. Over the past 20 years, the efficacy and safety of transcatheter device closure of PDA in adults has been established. Even though the immediate success rate is lower with transcatheter device closure tha… Show more

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Cited by 11 publications
(6 citation statements)
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“…When an open thoracotomy is selected, a muscle-sparing left posterolateral incision is preferred. 57 The main indications favoring surgical closure in adults with PDA are calcification of the ductus, short/wide ductus, aneurysms, or in the presence of concomitant defects requiring surgery. 58 PDA Closure in the Elderly: Even in symptomatic elderly patients PDA closure can be controversial due to the risks involved due to technical difficulties, ductal calcification/friability ( Fig.…”
Section: Surgical Closurementioning
confidence: 99%
“…When an open thoracotomy is selected, a muscle-sparing left posterolateral incision is preferred. 57 The main indications favoring surgical closure in adults with PDA are calcification of the ductus, short/wide ductus, aneurysms, or in the presence of concomitant defects requiring surgery. 58 PDA Closure in the Elderly: Even in symptomatic elderly patients PDA closure can be controversial due to the risks involved due to technical difficulties, ductal calcification/friability ( Fig.…”
Section: Surgical Closurementioning
confidence: 99%
“…Closure of an isolated PDA diagnosed in infancy removes the hemodynamic burden of the shunt that may be responsible at times for severe congestive heart failure. In older children or adults, suppression of the shunt is advised to prevent infection (endocarditis), pulmonary hypertension, heart failure, aneurysm formation, and pulmonary or systemic thromboembolism and to avoid the associated shortened life expectancy [7].…”
Section: Discussionmentioning
confidence: 99%
“…In older children or adults, suppression of the shunt is advised to prevent infective endarteritis, pulmonary hypertension, heart failure, aneurysm formation, pulmonary or systemic thromboembolism, and to avoid the associated shortened life expectancy. 4 Although PDA ligation via thoracotomy is a highly successful procedure, the advantages of VATS ligation include better preservation of pulmonary mechanics, shorter hospital stay, decreased postoperative pain, and prevention of post-thoracotomy syndrome which is characterized by spinal column and chest wall deformities that may proceed to decrease pulmonary function. 5 Video-assisted thoracoscopic surgery offers other advantages to pediatric patients, including decreased incidence of scoliosis after thoracotomy, reported to be 22% to 33%.…”
Section: Discussionmentioning
confidence: 99%