Patent ductus arteriosus in infants and children: A review of 936 operations (1946-69)

Surgical Closure of Patent Ductus Arteriosus in Preterm Low Birth Weight Infants

“…In our series, we used postoperative chest drains in early years (17 infants), but this was eliminated later to simplify the postoperative nursing care, safety, and comfort for the patient. The reported residual ductal patency rate on auscultation is 3–5%; 17,24,25 in our study, there was no postoperative ductal patency, which was confirmed by the absence of the murmur. Thus, we had 100% successful clinical closure of the ductus with the two described techniques.…”

Transcatheter Occlusion of Residual Patent Ductus Arteriosus After Surgical Ligation

“…In the following decades large series have shown that surgical ligation of PDA is a safe and effective procedure [8]. However, incomplete closure during ligation or recanalization after ligation may cause residual leaks.…”

“…Surgery had been performed twice in patient 6. Eight patients were included in our previous reports (patients [3][4][5][6][7][8][9] and patient 12) [6,9]. Patients ranged in age from 3.2 to 44.6 years (median 4.6 years) and in weight from 13 to 62 kg (median 16.5 kg).…”

Nonsurgical Transcatheter Closure of Patent Ductus arteriosus Using Rashkind Double Umbrella Device: Initial Experience in Kuwait and Review of the Literature

“…The device can be used even in the presence of cardiac failure, pulmonary hypertension and ductal calcification [12]. Pulmonary vascular disease w'ith Eiscnmenger syndrome and active IE are contraindica tions to any form of ductal closure [11], Surgical closure of PDA has become a safe and effective procedure with low mortality and morbidity [15,16]. Hence, for the nonsurgical closure of PDA to be accepted, it should have at least comparable results and other advantages.…”