Outcome of ligation of the persistently patent arterial duct in neonates as performed by an outreach surgical team.

Abstract:

AIM:Our aim was to review the outcome of ligation of the persistently patent arterial duct in neonates as performed outside a paediatric cardiothoracic centre by an outreach surgical team. METHODS:A retrospective observational study of all ligations of the persistently patent arterial duct performed in Cambridge between January, 1988, and December, 2002. RESULTS:Over the period of 15 years studied, a persistently patent arterial duct was ligated in 43 neonates. The median gestational age at birth was 26 weeks, with a range from 23 to 35 weeks, and median weight at birth was 722 grams, with a range from 500 to 2100 grams. Median age at ligation, was 25 days, with a range from 10 to 89 days, and their weight was 963 grams, with a range from 568 to 2221 grams. Ligation was successful in 42 babies (98%), mortality at 30 days of 5%, and 29 of the babies (67%) surviving to be discharged from the hospital. The late deaths were due to complications of prematurity, rather than the procedure of ligation. CONCLUSION:The persistently patent arterial duct can successfully be ligated by an outreach surgical team outside a paediatric cardiothoracic centre. There was an excellent 30 day survival.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Sivakumar S,Lee L,Tillett A,Wells F,Dunning J,Kelsall AW

doi

10.1017/S1047951107000741

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

541-4

issue

5

eissn

1047-9511

issn

1467-1107

pii

S1047951107000741

journal_volume

17

pub_type

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