Korean Circ J.  2004 Oct;34(10):978-982. 10.4070/kcj.2004.34.10.978.

Video-Assisted Thoracoscopic Surgery for Patent Ductus Arteriosus

• Her K
• Lee JW
• Shin HK
• Won YS

• KMID: 2227193
• DOI: http://doi.org/10.4070/kcj.2004.34.10.978

Abstract

BACKGROUND AND OBJECTIVES
Video-Assisted Thoracoscopic surgery for Patent Ductus Arteriosus is an efficient method to reduce the risk of postoperative residual shunt as well as various complications that can be caused by a thoracotomy. The aim of this study was to analyze the safety and efficacy of ductus arteriosus clipping, using videothoracoscopy in sixty-five patients, and the results and prognosis of the operations.
SUBJECTS AND METHODS
After general anesthesia of the sixty-five Patent Ductus Arteriosus (PDA) patients, double skin incisions of 7 and 5 mm were made and a thoracoscope inserted at the point of the 5 mm skin incision, with clipping of ductus arteriosus using the 7 mm skin incision were conducted. During the procedure, the tidal volume was kept at the minimum level to maintain O2 saturation, without insertion of a chest tube.
RESULTS
There have been reported complications in fourteenth cases, with four of these caused by injury to the recurrent laryngeal nerve; however, they recovered after two weeks, with the other ten receiving a remnant residual shunt. Nine of ten residual shunt cases cured naturally after about six months, with no special treatments.
CONCLUSION
Surgery using Video-Assisted thoracoscopic surgery for the PDA patients can decrease the complications due to a thoracotomy, and is therefore, a much safer and more effective method than other existing solutions.

Keyword

Ductus arteriosus, patent; Thoracic surgery, video-assisted; Surgical instruments

MeSH Terms

Anesthesia, General
Chest Tubes
Ductus Arteriosus
Ductus Arteriosus, Patent*
Humans
Prognosis
Recurrent Laryngeal Nerve
Skin
Surgical Instruments
Thoracic Surgery, Video-Assisted*
Thoracoscopes
Thoracotomy
Tidal Volume