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KMID : 0364019930260120915
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Korean Journal of Thoracic and Cardiovascular Surgery
1993 Volume.26 No. 12 p.915 ~ p.919
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Surgical Treatment of Patent Ductus Arteriosus in Preterm and Infants with Severe Heart Failure and Cardiac Cachexia
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이석재
이정렬/김용진/노준량/서경필
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Abstract
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The management of Patent Ductus Arteriosus(PDA0 with heart failure and cardiac cachexia in premature infants have been a disturbing and controversial problem in the field of pediatric cardiovascular surgery.
We analysed our experiences to determine the rationale of surgical closure of PDA in infants. During a period of 7 years from January 1986 to December 1992, 12 infants under 2 months of age underwent operations for "hemodynamically significant"
PDA
which had caused severe heart failure.
There were 6 male and 6 female patients. Their mean gestational age was 33.8 weeks and their mean body weight was 1990g. ranged from 710g. to 2900g. mean age at operation was 28.5 days.
Seven patients had history of Indomethacin trial.
All patients were operated with double ligation technique under general anesthesia.
There was no mortality and blood transfusion was not necessary in any patient during the operation.
In all cases, we could confirm the complete closure of PDA after operation by follow-up echocardiography.
Two patients died during their hospital stay and 1 patient died at 6 months after operation. The causes of death were sepsis with congestive heart failure. Necrotizing enterocolitis and pneumonia respectively.
We can not detect any operation related complication which resulted in permanent sequelae as well as delayed complications related to nerve damage.
These results indicate that surgical ligation of PDA in infants with severe heart failure is relatively safe and effective. (Korean J Thoracic Cardiovas Surg 1993;26:915-9)
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KEYWORD
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