The modern approach to patent ductus arteriosus treatment: complementary roles of video-assisted thoracoscopic surgery and interventional cardiology coil occlusion

The Current Role of Surgery in Treating Adult Patients with Patent Ductus Arteriosus

“…VATS ligation of PDA and transcatheter occlusion are minimally traumatic and complementary techniques for PDA treatment …”

“…Residual shunting, coil emboliazation, and reopening after successful coil occlusion are more likely in large PDAs. On the other hand, VATS is contraindicated in patients with calcified ducts, severe pleural scarring, or short, wide, window‐like ducts . There is an agreement that patients with short, wide, window‐like ducts are not candidates for coil occlusion or VATS .…”

Esophageal stethoscope: an old tool with a new role, detection of residual flow during video-assisted thoracoscopic patent ductus arteriosus closure

“…Several studies have documented residual and recurrent flow after VATS clipping ranging from 1.4% to 10% during the follow-up period [8,[12][13][14][15], whereas, residual flow after open PDA closure has been seen in 0% to 23% of patients [16,17]. Closure of PDA in the cardiac catheterization laboratory has been increasingly used, but some restrictions on body weight and ductus morphology limit the indication.…”

Esophageal Stethoscope in Thoracoscopic Interruption of Patent Ductus Arteriosus

“…Several studies have documented residual and recurrent fl ow after VATS clipping, ranging from 1.4% to 10% during follow-up, while residual fl ow after open PDA interruption has been seen in 0% to 23% of patients. [5][6][7][8][9] Closure in the catheterization laboratory is performed increasingly, but some restrictions on body weight and ductus morphology limit this possibility. Furthermore, interventional techniques have shown a variable rate of residual patency.…”