title: Surgical treatment of patent ductus arteriosus in adults.
abstract: OBJECTIVE
  To analyze 34 patients submitted to surgical treatment of patent arterial duct with age beyond 18 years old.
  
  
  METHODS
  Retrospective data collected from patient's charts with more than eighteen years old, submitted to surgical correction of patent arterial duct between 1997 and 2008 at Instituto do Coração da Faculdade de Medicina da Universidade de São Paulo.
  
  
  RESULTS
  The mean age was 28.7 (18 a 53) years and 22 (64.7%) were female. The more prevalent symptom was dyspnea (76.5%). Left lateral thoracotomy was used in 33 (97.1%); the DA was sectioned and sutured in 25 (73.5%) cases and one patient needed cardiopulmonary bypass support. There were eight (23.5%) calcified arterial duct and 12 (35.3%) previous treatment with transcatheter devices were performed. The complication rate was 32%, with one (2.9%) permanent vocal cord palsy. Two (5.8%) patients had residual shunt less than 2mm. Transient left cord voice palsy was observed in 3 (8.8%) The procedure improves functional class (P< 0.0001) and no mortality was observed.
  
  
  CONCLUSIONS
  In this series, the surgical treatment of patent arterial duct in adults could be done without mortality and low incidence of complications.
authors: Faculty of Medicine, University of São Paulo, SP, Brazil. mbjatene@uol.com.br
authors: Marcelo Biscegli
authors: MB
authors: Jatene
authors: Décio Cavalet Soares
authors: DC
authors: Abuchaim
authors: Marcos G
authors: MG
authors: Tiveron
authors: Carla
authors: C
authors: Tanamati
authors: Nana
authors: N
authors: Miura
authors: Arlindo
authors: A
authors: Riso
authors: Edmar
authors: E
authors: Atik
authors: Antonio Augusto
authors: AA
authors: Lopes
authors: Miguel
authors: M
authors: Barbero Marcial
mesh_terms: D000328:Adult; D004374:Ductus Arteriosus, Patent / Q000401:mortality / Q000601:surgery*; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000145:classification / Q000453:epidemiology*; D055815:Young Adult