Ligation of patent ductus arteriosus through left anterior mini-thoracotomy in preterm infants

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dc.contributor.authorKilic, Yigit
dc.contributor.authorIrdem, Ahmet Kuddusi
dc.contributor.authorDoyurgan, Onur
dc.contributor.authorOzlem, Gul
dc.contributor.authorBalik, Hasan
dc.contributor.authorSalik, Fikret
dc.contributor.authorAldudak, Bedri
dc.date.accessioned2024-04-24T16:19:04Z
dc.date.available2024-04-24T16:19:04Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Patent ductus arteriosus is an important cause of morbidity and mortality, especially in very low birth weight infants. The aim of the study is to report our single-centre short-term results of preterm patients who underwent ligation through left anterior mini-thoracotomy . Methods: Data of 27 preterm infants operated by the same surgeon who underwent Patent ductus arteriosus (PDA) closure with left anterior mini-thoracotomy technique between November 2020 and January 2022 at a single institution were reviewed. The patients were divided into two groups according to their weight at the time of surgery. Data on early postoperative outcomes and survival rates after discharge were collected. Results: Twenty-seven patients with a mean (+/- SD) gestational age of 25.8 (+/- 2.0) weeks and a mean birth weight of 1027 (+/- 423) g were operated using left anterior mini-thoracotomy technique. The lowest body weight was 480 g. Complications such as bleeding, abnormal healing of incision, or pneumothorax were not seen. There were 8 mortalities after the operation (29,6 %). The causes of the deaths were sepsis, necrotising enterocolitis, hydrops fetalis, hepatoblastoma, and intracranial bleeding. There was no statistically significant difference in the rates of complication between the groups. Conclusions: Left anterior mini-thoracotomy technique can be performed as the first choice when transcatheter intervention cannot be applied in preterm infants. It provides easy access to the PDA, a good exposure, minimal contact with the lungs, good cosmetic results in early and mid-term and shortens the operation time, especially in very low birth weight preterm babies. However, early ligation may be helpful to minimise the complications related to PDA.en_US
dc.identifier.doi10.1017/S1047951122001603
dc.identifier.endpage118en_US
dc.identifier.issn1047-9511
dc.identifier.issn1467-1107
dc.identifier.issue1en_US
dc.identifier.pmid35611831
dc.identifier.scopus2-s2.0-85165639034
dc.identifier.scopusqualityQ3
dc.identifier.startpage113en_US
dc.identifier.urihttps://doi.org/10.1017/S1047951122001603
dc.identifier.urihttps://hdl.handle.net/11468/16389
dc.identifier.volume33en_US
dc.identifier.wosWOS:000800042300001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherCambridge Univ Pressen_US
dc.relation.ispartofCardiology in The Young
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPatent Ductus Arteriosusen_US
dc.subjectPrematureen_US
dc.subjectMinimally Invasive Surgeryen_US
dc.titleLigation of patent ductus arteriosus through left anterior mini-thoracotomy in preterm infantsen_US
dc.titleLigation of patent ductus arteriosus through left anterior mini-thoracotomy in preterm infants
dc.typeArticleen_US

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