scholarly journals Tratamento cirúrgico de persistência de ducto arterioso – relato de caso

2021 ◽  
Vol 4 (6) ◽  
pp. 38-48
Author(s):  
Jéssica Caetano da Fré ◽  
◽  
Carla Novelli da Silva ◽  
Sandra Márcia Tietz Marques ◽  

The ductus arteriosus is an arterial shunt between the aorta and a pulmonary artery, physiological during fetal development, during this period it shunts away part of the blood circulation that would go to the lungs, which at that moment are still afunctional. After birth, there is a physiological closure of this duct, its non-occlusion is called persistent ductus arteriosus (PDA), which is treated surgically. We report the clinical case of a female canine of the German dwarf spitz breed that was diagnosed with PDA in a routine pediatric pre-vaccination consultation. Doppler echocardiography was then performed with confirmation of PDA. Treatment consisted of surgical correction using the standard technique of ligation of the patent ductus arteriosus. The procedure was successful with the patient's recovery.

2012 ◽  
Vol 7 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Chaudhury Meshkat Ahmed ◽  
Sohel Mahmud Arafat ◽  
Muhammad Khaled Hasan ◽  
Abed Hussain Khan ◽  
Lima Asrin Sayami ◽  
...  

Pulmonary artery pressure is one of the most important parameter for evaluating the status of pulmonary vascular bed for patients of PDA, which helps in formulating treatment strategy. This study was carried out in National Institute of Cardiovascular Diseases and Hospital (NICVD) and National Centre for Control of Rheumatic Fever and Heart Diseases, Dhaka, Bangladesh. Pulmonary artery pressure was recorded noninvasively using Doppler echocardiography and the it was correlated with those obtained from haemodynamic studies done at cardiac catheterization. Estimation of pulmonary artery pressure using Doppler derived measurement of pressure gradient across patent ductus arteriosus correlated well with that of simultaneous catheterization measured values. Doppler echocardiography is a cheap, simple, noninvasive bedside test for measuring pulmonary artery systolic and diastolic pressure in patient with PDA. DOI: http://dx.doi.org/10.3329/uhj.v7i1.10202 UHJ 2011; 7(1): 10-12


2020 ◽  
Vol 30 (12) ◽  
pp. 1943-1945
Author(s):  
Semih Murat Yucel ◽  
Irfan Oguz Sahin

AbstractDuctus arteriosus is an essential component of fetal circulation. Due to occurring changes in the cardiopulmonary system physiology after birth, ductus arteriosus closes. Patent ductus arteriosus can be closed by medical or invasive (percutaneous or surgical) treatment methods. Percutaneous or surgical closure of patent ductus arteriosus can be performed for the cases that medical closure failed. Surgical treatment is often preferred method for closure of patent ductus arteriosus in the neonatal period. The most common surgical complications are pneumothorax, recurrent laryngeal nerve injury, bleeding, and recanalisation. A very rare surgical complication is left pulmonary artery ligation that has been presented in a few cases in the literature. Echocardiography control should be performed in the early post-operative period, especially in patients with clinical suspicion. If reoperation is required, it should never be delayed. We report a newborn patient whose left pulmonary artery ligated accidentally during patent ductus arteriosus closure surgery and surgical correction of this complication at the early post-operative period.


1989 ◽  
Vol 19 (2) ◽  
pp. 343
Author(s):  
Hong Lyeol Lee ◽  
Myong Ki Hong ◽  
Kyung Kwon Paik ◽  
Seung Jae Tahk ◽  
Woong Ku Lee ◽  
...  

2021 ◽  
Vol 70 (Suppl-4) ◽  
pp. S701-05
Author(s):  
Khushal Khan Khattak ◽  
Maad Ullah ◽  
Abdul Malik Sheikh ◽  
Asma Kanwal ◽  
Sajid Ali Shah ◽  
...  

Objective: To determine different treatment options in patients of Patent Ductus Arteriosus with pulmonary hypertension beyond neonatal period. Study Design: Descriptive cross sectional study. Place and Duration of Study: This study was carried out in Pediatric Cardiology department of Rawalpindi Institute of Cardiology, from Jan 2017 to Jan 2019. Methodology: Patients having PDA with pulmonary hypertension were included in the study. Treatment options were divided into percutaneous catheter device closure, surgical ligation of patent ductus arteriosus and palliative treatment. Any adverse event during the procedure was documented. Stratification was done in regard to gender and age group. Post stratification chi square test was applied and p-value less than or equal to 0.05 was considered as significant. Results: Total number of patients included in the study were 37. Mean age (years) of patients (Mean ± SD) was 19.21 ± 8.76. Mean ± SD pulmonary artery pressure was 56.43 ± 11.55 mmHg. Percutaneous catheter device closure was successful in 24 (64.9%) patients, in 7 (18.9%) patients primary surgical PDA ligation was done, 3 (8.1%) patients were advised palliative treatment and in 3 (8.1%) patients adverse events occurred during percutaneous device closure and were thus referred for surgical ligation. Patent ductus Arteriosus Occlutech device was used in 18 (48.6%) patients, Occlutech VSD device was used in 7 (18.5%) patients and in 1 (2.7%) patient AGA duct occluder was used. Conclusion: In patients with patent ductus arteriosus and pulmonary artery hypertension, percutaneous catheter device closure is a safe and effective procedure.


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