Surgical closure of patent ductus arteriosus in very-low-birth-weight infants.

Abstract:

:In many very-low-birth-weight (VLBW) infants the ductus arteriosus fails to close spontaneously, and they subsequently develop signs and symptoms of poor tissue perfusion and heart failure. This study evalutes the results of early surgical closure of patent ductus arteriosus (PDA). We retrospectively reviewed the records of all 101 VLBW infants who weighed 1,500 g or less when their PDA was surgically ligated in Turku University Hospital between 1988 and 1998. The mean gestational age at birth was 27.2 weeks and mean birth weight 963+/-239 g. The operation was performed at 12+/-8 days of age; the infants' weight at operation was 969+/-231 g and they were tracheally extubated 11+/-14 days after the operation. The surgery-related mortality was 3% (3/101) and overall mortality 10% (10/101). We conclude that surgical closure of PDA is safe and effective in VLBW infants.

journal_name

Pediatr Surg Int

authors

Niinikoski H,Alanen M,Parvinen T,Aantaa R,Ekblad H,Kero P

doi

10.1007/s003830000515

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

338-41

issue

5-6

eissn

0179-0358

issn

1437-9813

journal_volume

17

pub_type

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