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KMID : 0364019720050010025
Korean Journal of Thoracic and Cardiovascular Surgery
1972 Volume.5 No. 1 p.25 ~ p.28
Surgery of the Infected Patent Ductus Arteriousus with Teflon Wrapping




Abstract
Patent ductus arteriosus is one of the most common congenital heart diseases, which treated operatively has excellent results. Treatment by surgical means is common and invariably successful. However, infected PDA cases present problems and surgeons operating must face the possibility of adhesions, aneurysmal dilatation and friability of tissue with tearing of the pulmonary arterial end, especially, which causes a fatal hemorrhagic complication.
In the earlier days of cardiac surgery, many surgeons deferred operative treatment infected PDA because of frequent complications, high postoperative morbidity. and mortality. This continued until Touroff et al. successfully divided the infected PDA in 1940.
In 1944, Harper et al. have used Cellophane for the wrapping of the infected PDA. This surgical procedure has become a single, simple and safe method for treating infected PDA, since that time.
In the Teflon wrapping technique, a cardio-thoracic team of Yonsei University Severance Hospital used Teflon felt instead of Cellophane in one case of infected PDA and this method proved intractable to antibiotic treatment for 40 days.
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