Minimally Invasive Patent Ductus Arteriosus Ligation

Clin Perinatol. 2017 Dec;44(4):763-771. doi: 10.1016/j.clp.2017.08.010. Epub 2017 Sep 20.

Abstract

A patent ductus arteriosus is a common condition, particularly in premature infants. Many spontaneously resolve but those that lead to clinical instability require closure. Conservative measures can be highly successful in selected groups. Surgical repair is effective and both open and minimally invasive approaches can be used. The minimally invasive approach may result in less long-term morbidity from a thoracotomy and may prove advantageous for these fragile infants, including less pain, shorter time on the ventilator, and shorter hospital stays.

Keywords: Congenital heart disease; Minimally invasive surgery; Neonate; Patent ductus arteriosus; Premature infants; Surgical ligation; Video-assisted thoracoscopic surgery.

Publication types

  • Review

MeSH terms

  • Conservative Treatment
  • Ductus Arteriosus, Patent / surgery*
  • Endovascular Procedures
  • Fluid Therapy
  • Humans
  • Infant, Newborn
  • Ligation / methods*
  • Minimally Invasive Surgical Procedures / methods
  • Operative Time
  • Postoperative Complications / epidemiology*
  • Prostaglandin Antagonists / therapeutic use
  • Respiration, Artificial
  • Scoliosis / epidemiology*
  • Thoracoscopy / methods*
  • Thoracotomy

Substances

  • Prostaglandin Antagonists