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Extremely low birth weight infants with patent ductus arteriosus: Searching for the least invasiveness

Heart Surgery Forum · Aralık 2012

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YÖKSİS Kayıtları
Extremely Low Birth Weight Infants with Patent Ductus Arteriosus Searching for the Least Invasiveness
The Heart Surgery Forum · 2012 SCI-Expanded
PROFESÖR MEHMET ALKILIÇ HORASANI ÖÇ →

Makale Bilgileri

DergiHeart Surgery Forum
Yayın TarihiAralık 2012
Cilt / Sayfa15
Özet Patent ductus arteriosus (PDA) is an important problem in premature infants. Extremely low birth weight infants (ELBWI) are so fragile with respect to surgical stress that minimally invasive procedures are required. We report 26 ELBWI cases with PDA who underwent surgical closure. All had failed indomethacin treatment, or it had been contraindicated. The mean gestational age at birth was 27 weeks (range, 24-38 weeks), and the mean birth weight was 960.96 g (range, 710-1440 g). The mean age at operation was 18.06 days (range, 7-34 days), and the mean body weight at operation was 989.42 g (range, 680-1460 g). There was no surgery-related mortality or morbidity. Our surgical procedures consisted of posterior muscle-sparing thoracotomy, clipping the PDA and no ligation, and closing the thorax without a tube thoracostomy. Muscle-sparing thoracotomy reduces the likelihood of long-term physical impairment and deformity, the clipping technique minimizes the dissection of surrounding PDA tissue, and the thorax is closed without a tube. Nursing care is simplified, costs are reduced, and the number of chest x-rays needed postoperatively is reduced. We believe that surgical closure of PDA without chest tube drainage can be accomplished safely in premature infants. © 2012 Forum Multimedia Publishing, LLC.

Yazarlar (5)

1
Mehmet Oc
ORCID: 0000-0002-7832-3067
2
Bora Farsak
3
Bahar Oc
ORCID: 0000-0002-2253-5191
4
Serkan Yildirim
5
Murat Simsek

Kurumlar

Selçuk Üniversitesi
Selçuklu Turkey

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