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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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

lingua: Inglese

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


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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.

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