Transoesophageal echocardiography detects residual ductal flow during video-assisted thoracoscopic patent ductus arteriosus interruption

Abstract

This report describes transoesophageal echocardiographic (TEE) monitoring in a one-year-old boy undergoing patent ductus arteriosus (PDA) interruption. After application of a first

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.…”

“…Although PDA ligation via thoracotomy is a highly successful procedure, the advantages of VATS PDA clipping includes better preservation of pulmonary mechanics, decreased hospital stay, decreased postoperative pain, and prevention of post-thoracotomy syndrome [8,9], which is characterized by scoliosis and chest wall deformities that may result in decreased pulmonary function [10,11].…”

Minimally Invasive Cardiac Surgery: Principle and Prospects

“…3 This strategy has now also been extended to cardiovascular surgery starting from ligation of patent ductus arteriosus. 4 The concept of minimally invasive surgery is also spreading to intracardiac surgery such as for valvular lesions, atrial septal defect (ASD), and other simple congenital defects as well as for coronary bypass. Therefore, tremendous changes Reprint requests to: H. Matsuda (Received for publication on July 18, 1997; accepted on Mar.…”

Minimally Invasive Cardiac Surgery: Current Status and Perspective

“…Although the operative results have been substantially improved, there are still various adverse effects on the patients because of its invasiveness. Recently, less invasive or minimally invasive approaches have been introduced to this field ( 1–5) ( Table 1). In coronary artery bypass surgery, the strategy is to use a small incision through an intercostal approach to avoid median sternotomy and to make anastomosis on the beating heart without CPB.…”

“…In MICS, CPB cannot be omitted because of the nature of the surgery which requires intracardiac procedures. Therefore, the target of MICS is to minimize the degree of skin incision and thoracotomy ( 1). Before MICS was developed, remarkable advances were made in instrumentation for CPB such as the percutaneous insertion of the cannula for venous drainage as well as arterial return.…”