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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2000 Febbraio;41(1):69-72

CARDIAC PAPERS 

 TECHNICAL NOTES

Video assisted thoracoscopic ligation of patent ductus arteriosus. Technique of sliding loop ligation

Kim B. Y., Choi H. H., Park Y. B., Yu B. S., Oh B. S. *

From the Department of Thoracic and Cardiovascular Surgery Chosun University
*Chonnan National University Medical School Kwang-Ju, South Korea

Variant vid­eo-assist­ed tho­rac­os­cop­ic sur­gi­cal tech­nique for clo­sure of pat­ent duc­tus arte­ri­o­sus has ­been intro­duced. Although the endo­scop­ic clip­ping ­device may be a pre­ferred meth­od for inter­rup­tion of the pat­ent duc­tus arte­ri­o­sus, ­there is ­always the ­risk of inad­e­quate ­clip place­ment and lim­i­ta­tion of appli­ca­tion in ­width of duc­tus arte­ri­o­sus. In an ­effort to over­come ­this prob­lem we ­have ­used a ­self-­made endo­scop­ic ­loop liga­tion in 10 ­patients and here­in ­report the meth­od. Only a ­small win­dow and one ­port of ­access are nec­es­sary to dis­sect the pat­ent duc­tus arte­ri­o­sus ­from the sur­round­ing tis­sues and to ­apply the extra­cor­po­real­ly creat­ed slid­ing ­loop. Successful liga­tion with­out ­shunt is ­obtained in all cas­es. The tech­nique is sim­ple and ­safe ­even in the pres­ence of a ­wide duc­tus.

lingua: Inglese


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