title: Surgical closure of persistent arterial duct with minimal invasive anterior thoracotomy: an alternative technique.
abstract: Surgical approach for persistent ductus arteriosus ligation is typically a left lateral thoracotomy opening the pleural-space with left lung retraction. We describe an alternative approach, with a minimally invasive anterior parasternal incision. This is particularly adapted to preterm infants weighing less than 1.5 kg. This approach ensures a good exposure of vessels. We believe that it is safe, reliable and reproducible. The learning curve should not be an issue for surgeons used to manage low weight patients.
authors: Department of Cardiac Surgery, Timone Children's Hospital, Marseille, France.
authors: Virginie
authors: V
authors: Fouilloux
authors: Department of Cardiac Surgery, Timone Children's Hospital, Marseille, France.
authors: Célia
authors: C
authors: Gran
authors: Department of Cardiac Surgery, Timone Children's Hospital, Marseille, France.
authors: Bernard
authors: B
authors: Kreitmann
mesh_terms: D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008026:Ligation; D019060:Minimally Invasive Surgical Procedures; D013908:Thoracotomy / Q000379:methods*