HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): François Laborde Thierry Folliguet Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Laborde, F. Articles by Cunningham, S. b. J. N. Search for Related Content PubMed PubMed Citation Articles by Laborde, F. Articles by Cunningham, S. b. J. N.

J Thorac Cardiovasc Surg 1995;110:1681-1685
© 1995 Mosby, Inc.

SURGERY FOR CONGENITAL HEART DISEASE

VIDEO-ASSISTED THORACOSCOPIC SURGICAL INTERRUPTION: THE TECHNIQUE OF CHOICE FOR PATENT DUCTUS ARTERIOSUSRoutine experience in 230 pediatric cases

Brooklyn, N.Y. and Paris, France

From the Department of Cardio-pediatric Surgery, Centre Médico- Chirurgical de la Porte de Choisy, Paris, France.

Address for reprints: Dr F. Laborde. Centre Médico- Chirurgical de la Porte de Choisy, 6 place de Port au Prince, 75013 Paris, France.

Abstract

Video-assisted thoracoscopic surgical interruption for patent ductus arteriosus is a well-standardized procedure already described. We present our entire series of such cases, from the first case (performed on Sept. 5, 1991) to March 1, 1995. Two hundred thirty patients in a variety of age groups underwent video-assisted interruption: younger than 6 months (70 patients, 30%), 6 to 48 months (123 patients, 54%), and older than 48 months (37 patients, 16%). The mean weight was 12.6 kg (range 1.2 to 65 kg). Thirty-nine patients had symptomatic pulmonary hypertension. Associated intracardiac anomalies included atrial septal defect (three), ventricular septal defect (five), and anomalous pulmonary venous return (one). All patients underwent video-assisted interruption of the patent ductus arteriosus with two titanium clips. Closure was evaluated by postoperative echocardiography before extubation. Five patients had a persistent patent ductus after video-assisted interruption, all early in our experience and related to insufficient dissection resulting in inadequate clip placement. Four patients had successful immediate clip repositioning (three by video-assisted interruption and one by thoracotomy). Subsequent echocardiography revealed persistent closure in these patients. A persistent patent ductus arteriosus with minimal flow was discovered in one patient without symptoms after discharge. Recurrent laryngeal nerve dysfunction was noted in six patients (2.6%; five transient and one persistent). There were no deaths, hemorrhages, transfusions required, or chylothoraces in this series. Mean operative time was 20 ±15 minutes, and hospital stay averaged 48 hours for patients younger than 6 months and 72 hours for patients older than 6 months. This is a safe, rapid, cost-effective technique that results in excellent results and a shortened hospital stay. Video-assisted interruption represents the technique of choice for closure of a patent ductus arteriosus. (J THORAC CARDIOVASC SURG 1995;110:1681-5)

This article has been cited by other articles:

				I. A. Russell, K. Rouine-Rapp, G. Stratmann, and W. C. Miller-Hance Congenital heart disease in the adult: a review with internet-accessible transesophageal echocardiographic images. Anesth. Analg., March 1, 2006; 102(3): 694 - 723. [Full Text] [PDF]

				P. K. Varma, G. Vallath, P. K. Neema, P. K. Sinha, H. Sivadasanpillai, M. U. Menon, and K. S. Neelakandhan Clinical profile of post-operative ductal aneurysm and usefulness of sternotomy and circulatory arrest for its repair Eur. J. Cardiothorac. Surg., March 1, 2005; 27(3): 416 - 419. [Abstract] [Full Text] [PDF]

				M. H. Hines, K. H. Raines, R. M. Payne, W. Covitz, J. F. Cnota, T. E. Smith, J. J. O'Brien, and D. G. Ririe Video-assisted ductal ligation in premature infants Ann. Thorac. Surg., November 1, 2003; 76(5): 1417 - 1420. [Abstract] [Full Text] [PDF]

				J. P. Jacobs, J. M. Giroud, J. A. Quintessenza, V. O. Morell, L. M. Botero, H. M. van Gelder, V. Badhwar, and R. P. Burke The modern approach to patent ductus arteriosus treatment: complementary roles of video-assisted thoracoscopic surgery and interventional cardiology coil occlusion Ann. Thorac. Surg., November 1, 2003; 76(5): 1421 - 1428. [Abstract] [Full Text] [PDF]

				E. Le Bret, S. Papadatos, T. Folliguet, D. Carbognani, J. Petrie, Y. Aggoun, A. Batisse, J. Bachet, and F. Laborde Interruption of patent ductus arteriosus in children: Robotically assisted versus videothoracoscopic surgery J. Thorac. Cardiovasc. Surg., May 1, 2002; 123(5): 973 - 976. [Abstract] [Full Text] [PDF]

				M. H. Nezafati, S. H. Hashemian, E. Mahmoodi, and A. Hamedanchi Video-Assisted Thoracoscopic Surgical Closure of Patent Ductus Arteriosus: 300 Cases Asian Cardiovasc Thorac Ann, December 1, 2001; 9(4): 275 - 278. [Abstract] [Full Text] [PDF]

				K. Miyaji, R. L. Hannan, J. Ojito, J. M. Dygert, J. A. White, and R. P. Burke Video-assisted cardioscopy for intraventricular repair in congenital heart disease Ann. Thorac. Surg., September 1, 2000; 70(3): 730 - 737. [Abstract] [Full Text] [PDF]

				R. P. Burke, J. P. Jacobs, W. Cheng, A. Trento, and G. P. Fontana Video-Assisted Thoracoscopic Surgery for Patent Ductus Arteriosus in Low Birth Weight Neonates and Infants Pediatrics, August 1, 1999; 104(2): 227 - 230. [Abstract] [Full Text]

				T. Pasha and M. A. Cheema Right Anterolateral Thoracotomy for Repair of Atrial Septal Defects in Young Female Patients Asian Cardiovasc Thorac Ann, March 1, 1999; 7(1): 46 - 48. [Abstract] [Full Text] [PDF]

				M. H. Hines, A. S. Bensky, J. W. Hammon Jr, and D. G. Pennington Video-assisted thoracoscopic ligation of patent ductus arteriosus: safe and outpatient Ann. Thorac. Surg., September 1, 1998; 66(3): 853 - 859. [Abstract] [Full Text] [PDF]

				J. A. van Son, A. Diegeler, E. K. Sim, R. Autschbach, and F. W Mohr Minimally Invasive Technique for Closure of Atrial Septal Defect Asian Cardiovasc Thorac Ann, June 1, 1998; 6(2): 88 - 90. [Abstract] [Full Text] [PDF]

				H. Sirbu, B. Herse, T. Busch, and H. Dalichau Pulmonary Vein Injury Through Repetitive Clip Friction: An Unusual Cause of Hemothorax Ann. Thorac. Surg., February 1, 1998; 65(2): 548 - 548. [Abstract] [Full Text] [PDF]

				E. Le Bret, T. A. Folliguet, and F. Laborde Videothoracoscopic Surgical Interruption of Patent Ductus Arteriosus Ann. Thorac. Surg., November 1, 1997; 64(5): 1492 - 1494. [Abstract] [Full Text]

				J.-J. Chu, C.-H. Chang, P. J. Lin, H.-P. Liu, F.-C. Tsai, D. Wu, C.-W. Chiang, F.-C. Lin, and P. P.C. Tan Video-Assisted Thoracoscopic Operation for Interruption of Patent Ductus Arteriosus in Adults Ann. Thorac. Surg., January 1, 1997; 63(1): 175 - 179. [Abstract] [Full Text]