Patent ductus arteriosus closure and somatic regional oxyhemoglobin saturation

J Clin Monit Comput. 2019 Jun;33(3):403-405. doi: 10.1007/s10877-018-0184-6. Epub 2018 Aug 3.

Abstract

The authors report a case of a 14-day-old infant patient with patent ductus arteriosus (PDA) with pulmonary hypertension. Accidental clipping of the left pulmonary artery (LPA) during intended PDA closure was revealed, and subsequent urgent PDA closure and releasing a clip of the LPA were conducted. During surgeries we measured somatic regional oxyhemoglobin saturation (rSO2) values and change in those might be a key for early diagnosis of accidental clipping of the LPA. These findings suggest that we should understand the risk of accidental closure of the LPA during PDA surgery and somatic rSO2 values will provide information for early diagnosis of critical complication.

Keywords: Patent ductus arteriosus closure; Regional oxyhemoglobin saturation; Surgical complication.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Arterial Pressure
  • Cardiac Catheterization
  • Ductus Arteriosus, Patent / diagnosis
  • Ductus Arteriosus, Patent / surgery*
  • Echocardiography
  • Female
  • Humans
  • Hypertension, Pulmonary / complications
  • Infant, Newborn
  • Laryngeal Nerves / surgery
  • Monitoring, Intraoperative
  • Oxyhemoglobins / analysis*
  • Pulmonary Artery / physiopathology*
  • Pulmonary Artery / surgery*
  • Tidal Volume
  • Vascular Surgical Procedures

Substances

  • Oxyhemoglobins