Video-Assisted Ductal Closure With New Modifications: Minimally Invasive, Maximally Effective, 1,300 Cases

Nezafati, Mohammad Hassan; Soltani, Ghasem; Vedadian, Ali

doi:10.1016/j.athoracsur.2007.04.077

Cited by 26 publications

(16 citation statements)

References 21 publications

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“…Th e safety and effi cacy of VATS is reported in a number of studies. [29][30][31] In a large case series of pediatric patients with PDA treated by VATS, patients suff ered no mortality and low morbidity with 1.3% residual patency. 29 Another study from 2011 compared pediatric patients with PDA treated by either VATS or thoracotomy.…”

Section: Discussionmentioning

confidence: 99%

Treatment Options for Pediatric Patent Ductus Arteriosus

Lam¹,

Lopushinsky²,

W.Y.³

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Treatment Options for Pediatric Patent Ductus Arteriosus

Lam¹,

Lopushinsky²,

W.Y.³

et al. 2015

CHEST

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“…The most common short-term complication is vocal cord paralysis due to recurrent laryngeal nerve injury. [31][32][33][34][35][36][37] Obstruction of the airway, 38 diaphragmatic paralysis secondary to phrenic nerve injury, 39,40 chylothorax, 41 re-expansion pulmonary edema, 42 and heart block 43 have all been reported in case reports or series. Benjamin et al reported on long-term outcome of complications from PDA ligation and found a higher rate of BPD, asthma, and need for gastrostomy tube at 18 to 22 months of age for 22 infants with vocal cord paralysis after surgical PDA ligation, compared with 33 infants with uncomplicated closure.…”

Section: Discussionmentioning

confidence: 99%

Short-Term Complications Associated with Surgical Ligation of Patent Ductus Arteriosus in ELBW Infants: A 25-Year Cohort Study

et al. 2019

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Objective This article aims to determine the incidence of short-term complications of surgical patent ductus arteriosus (PDA) ligations, the factors associated with those complications, and whether complications are associated with poor long-term outcomes. Study Design Retrospective cohort study of all extremely low birth weight (ELBW, < 1,000 g) infants who underwent surgical PDA ligation at a single-center neonatal intensive care unit from 1989 to 2015. Demographic, clinical, and laboratory data were reviewed. The primary outcome was development of a short-term (< 2 weeks from ligation) surgical complication. Secondary outcomes include bronchopulmonary dysplasia (BPD), length of stay, and mortality. Results A total of 180 ELBW infants were included; median gestational age and birth weight was 24 weeks and 683 g, respectively, and 44% of infants had at least one short-term complication. Need for vasopressors (33%) was the most common medical complication and vocal cord paralysis (9%) was the most common surgical complication. Younger corrected gestational age at time of repair was associated with increased risk for complications. Mortality, length of stay, and BPD rates were similar between infants with and without complications. Conclusion Serious complications were seen in a minority of infants. Additional research is needed to determine if short-term complications are associated with long-term adverse outcomes.

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“…51,52 The minimally invasive thoracic approach 53 and video-assisted surgery 54 were developed in response to the high morbidity occurring after classic posterolateral thoracic approaches in children. 56 This video-assisted technique is perfectly valid to perform pericardiac windows, the introduction of epicardiac heart stimulation probes, the treatment of chylothorax and diaphragm plication 57 and the treatment of empyema. 56 This video-assisted technique is perfectly valid to perform pericardiac windows, the introduction of epicardiac heart stimulation probes, the treatment of chylothorax and diaphragm plication 57 and the treatment of empyema.…”

Section: Minimally Invasive Congenital Surgerymentioning

confidence: 96%