[A new approach to the closure of patent ductus arteriosus in premature infants].
Minimally invasive surgical techniques have been employed successfully for a wide spectrum of cardiothoracic procedures. These approaches were proven to be as safe and effective as traditional surgical techniques. Unfortunately, it remains a lack of adequate instrumentations and anatomic features, particularly in the pediatric pool of patients. We have employed a new surgical approach for closing a patent ductus arteriosus in low weight newborn (< 2.5 kg), performing a superior extrapleuric approach. This report demonstrates that this technique is safe and reproducible, and is our opinion that it may substitute the medical management of patent ductus arteriosus.
Mazzera
Ennio
E
Dipartimento di Cardiochirurgia Pediatrica, Ospedale Pediatrico Bambino Gesù, Roma.
Brancaccio
Gianluca
G
Feltri
Cristiana
C
Michielon
Guido
G
Capolupo
Irma
I
Costa
Dina
D
Di Donato
Roberto
R
D000015:Abnormalities, Multiple; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D015203:Reproducibility of Results; D012449:Safety; D016896:Treatment Outcome