Korean J Thorac Cardiovasc Surg.  2001 Apr;34(4):351-355.

Video-Assisted Thoracoscopic Surgery for Patent Ductus Arteriosus: 6 cases report

• Park CB
• Kwon JB
• Won YS
• Park K
• Park KH

Abstract

Surgical interruption through a left posterolateral thoracotomy and percutaneous transcatheter closure of ductus arteriosus were popular procedures of treatment. However, concerns over postthoracotomy syndrome and postoperative pain and complications such as persistent shun-ting, hemolysis, possible migration, and problem of prophylaxis against bacterial endocarditis in residual shunt were reported. Therefore, we present our procedure using video-assisted thoracoscopy for PDA clipping. 6 patients underwent video assisted-thoracoscopic clipping of PDA, but one case was converted into minithoracotomy. Postoperative examination showed the absence of murmur and decreased pulmonary vascularities progressively in all patients. In our series, we had no cases of ductal rupture during operation, incomplete ductal closure, pneumothorax, or hoarseness. Mean hospital stay was 3.4days. Postoperative echocardiography revealed no cases of ductal patency or residual shunt. We concluded that the technique described here is an effective procedure in view of the prevention of postthoracotomy syndrome, successful closure of ductus, cosmetic effect, and a short hospital stay.

Keyword

Ductus atreriosus, patent; Thoracoscopy

MeSH Terms

Ductus Arteriosus
Ductus Arteriosus, Patent*
Echocardiography
Endocarditis, Bacterial
Hemolysis
Hoarseness
Humans
Length of Stay
Pain, Postoperative
Pneumothorax
Rupture
Thoracic Surgery, Video-Assisted*
Thoracoscopy
Thoracotomy