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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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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