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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1996-9-23
|
| pubmed:abstractText |
Closure of patent ductus arteriosus by video thoracoscopy is a standardised procedure. The authors report their experience of closure of patent ductus arteriosus by video-thoracoscopy from May 1991 to December 1995. The series included 282 patients divided into 3 groups according to age: under 6 months (78 patients, 27.6%), from 6 months to 4 years (135 patients, 42.88%) and over 4 years of age (69 patients, 24.6%) with an average weight of 12.6 kg (range: 1.2 to 65 kg). Symptomatic pulmonary hypertension was observed in 39 cases and 9 children had associated intracardiac malformations (ostium secundum: 3; ventricular septal defect: 5; abnormal pulmonary venous drainage: 1) which were not corrected. The technique consisted of placing two titanium clips in position under video-thoracoscopy to close the ductus. An echo performed immediately afterwards confirmed closure of the ductus. The main complications were: persistence of a shunt (4 cases) at the beginning of our experience requiring immediate reoperation by video-thoracoscopy in 3 cases and by thoracotomy in one case; left recurrent laryngeal nerve palsy in 6 cases (2.1%) with regression in 5 and persistence in one case; one case of postoperative chylothorax which regressed rapidly. There were no fatalities or haemorrhages and no blood transfusions were required in this series. The average operating time was 20 +/- 15 minutes and the duration of hospital stay around 48 hours when the patients were over 6 months old and 72 hours when less than 6 months of age. Video-thoracoscopic closure of patent ductus arteriosus is rapid, safe, economical, it provides excellent results and may be used in children of all ages.
|
| pubmed:language |
fre
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
May
|
| pubmed:issn |
0003-9683
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
89
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
547-51
|
| pubmed:dateRevised |
2011-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8758562-Age Factors,
pubmed-meshheading:8758562-Child,
pubmed-meshheading:8758562-Child, Preschool,
pubmed-meshheading:8758562-Ductus Arteriosus, Patent,
pubmed-meshheading:8758562-Echocardiography, Doppler, Color,
pubmed-meshheading:8758562-Endoscopy,
pubmed-meshheading:8758562-Heart Defects, Congenital,
pubmed-meshheading:8758562-Humans,
pubmed-meshheading:8758562-Infant,
pubmed-meshheading:8758562-Length of Stay,
pubmed-meshheading:8758562-Recurrent Laryngeal Nerve Injuries,
pubmed-meshheading:8758562-Surgical Staplers,
pubmed-meshheading:8758562-Thoracoscopy,
pubmed-meshheading:8758562-Treatment Outcome,
pubmed-meshheading:8758562-Video Recording
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
[Closure of patent ductus arteriosus by video thoracoscopy in 282 children].
|
| pubmed:affiliation |
Department de chirurgie cardiaque, institut mutualiste Montsouris, Paris.
|
| pubmed:publicationType |
Journal Article,
English Abstract
|