Comparison of ‘post-patent ductus arteriosus ligation syndrome’ in premature infants after surgical ligation vs. percutaneous closure

AbstractPercutaneous closure of patent ductus arteriosus is well established in infants weighing >5 kg, but data regarding outcome of preterm especially very low birth weight infants is minimal. Although surgical ligation of patent ductus arteriosus is the preferred and well-accepted modality of treatment after failure of drug therapy in preterm infants, it has also got its own demerits in such a small and fragile subset. Device closure in infants weighing <1.5 kg is rarely attempted because of high chances of complications, especially acute arterial injury due to the arterial sheath. We received a 1.4-kg ventilator-dependent infant for closure of large patent ductus arteriosus. Percutaneous closure of patent ductus arteriosus was done successfully and the infant was discharged on room air with a weight of 1.8 kg. We present here an innovative technique in which successful patent ductus arteriosus device closure was done in a 1.4-kg infant without using arterial sheath.

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Percutaneous closure of patent ductus arteriosus in premature infants: A French national survey: A Titanic movement in technology and technique— Beware the icebergs!

Catheterization and Cardiovascular Interventions ◽

10.1002/ccd.28685 ◽

2020 ◽

Vol 95 (5) ◽

Author(s):

Neil Wilson

Keyword(s):

Patent Ductus Arteriosus ◽

Premature Infants ◽

National Survey ◽

Ductus Arteriosus ◽

Percutaneous Closure ◽

Patent Ductus

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Surgical Ligation for Patent Ductus Arteriosus in Extremely Premature Infants: Strategy to Reduce their Risk of Neurodevelopmental Impairment

The Tohoku Journal of Experimental Medicine ◽

10.1620/tjem.240.7 ◽

2016 ◽

Vol 240 (1) ◽

pp. 7-13 ◽

Cited By ~ 3

Author(s):

Satoko Ito ◽

Tadashi Matsuda ◽

Haruo Usuda ◽

Shimpei Watanabe ◽

Ryuta Kitanishi ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Premature Infants ◽

Ductus Arteriosus ◽

Surgical Ligation ◽

Neurodevelopmental Impairment ◽

Patent Ductus

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Recurrence of Patency of the Ductus Arteriosus After Surgical Ligation in Premature Infants

PEDIATRICS ◽

10.1542/peds.73.1.56 ◽

1984 ◽

Vol 73 (1) ◽

pp. 56-58

Author(s):

Stephen R. Daniels ◽

Mark D. Reller ◽

Samuel Kaplan

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Patent Ductus Arteriosus ◽

Premature Infants ◽

Ductus Arteriosus ◽

Clinical Signs ◽

Surgical Ligation ◽

Echocardiographic Evidence ◽

Patent Ductus

Two premature infants who had surgical ligation of their patent ductus arteriosus are described. These infants initially did well postoperatively but then developed congestive heart failure. Both infants had echocardiographic evidence of recurrence of their patent ductus arteriosus. One of the infants required a repeat ligation procedure. It is important to continue to monitor premature infants for the return of clinical signs of a patent ductus arteriosus after surgical ligation.

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