title: Patent ductus arteriosus closure in prematurities weighing less than 1 kg by subaxillary mini-thoracotomy.
abstract: The surgical closure of patent ductus arteriosus (PDA) is provided more frequently in extremely low birth weight babies who are usually deemed unsuitable for pharmacological closure. We have adopted subaxillary mini-thoracotomy in order to lessen surgical trauma in these babies; and its clinical results were analyzed. From April 2004 to August 2008, out of 50 babies at the neonatal intensive care unit who underwent the surgical closure of PDA, 22 premature babies weighing less than 1 kg at operation were included in the study. Eleven babies were males and mean gestational age was 27 weeks ranging from 23(+3) to 30(+2) weeks. Mean body weight at operation was 816 g ranging from 490 to 989 g and average age at operation was 17.9+/-11.9 days. Of them, 17 babies (72%) were ventilator dependent preoperatively, as compared with 13 out of 28 (46%) babies that weighed more than 1 kg (P<0.05). Four babies did not survive to discharge. Among 28 babies who were heavier than 1 kg, there were only one death. However, the mortality difference was not statistically significant (P=0.11). All mortalities were caused by inherent problems of prematurity and co-morbidities. Out of 17 babies who had been ventilator dependent preoperatively, 13 weaned off successfully at 17.0+/-23.9 days after the operation. The baby patients heavier than 1 kg weaned at 6.0+/-5.3 days (P=0.27). Surgical outcome of simple and less invasive subaxillary mini-thoracotomy was satisfactory; the surgery is highly recommended for ductal closure in extremely low weight premature babies.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Jungsoo
authors.initials: J
authors.lastname: Cho
authors.forename: Yong Han
authors.initials: YH
authors.lastname: Yoon
authors.forename: Joung Taek
authors.initials: JT
authors.lastname: Kim
authors.forename: Kwang Ho
authors.initials: KH
authors.lastname: Kim
authors.forename: Hyun Kyung
authors.initials: HK
authors.lastname: Lim
authors.forename: Yong Hoon
authors.initials: YH
authors.lastname: Jun
authors.forename: Young Jin
authors.initials: YJ
authors.lastname: Hong
authors.forename: Wan Ki
authors.initials: WK
authors.lastname: Baek
mesh_terms: D004374:Ductus Arteriosus, Patent / Q000401:mortality / Q000601:surgery*; D005260:Female; D005865:Gestational Age; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D008297:Male; D013908:Thoracotomy; D016896:Treatment Outcome