Surgical management of patent ductus arteriosus in preterm infants: a 10 years' experience

Yesser Elghoneimy., Mousa Alhaddad., Hussain Aljabran., Mustafa Albattat., Haidar Alyaseen and Ahmed Aleissa

Background: Patent ductus arteriosus (PDA) is a very common condition among preterm infants. Currently, it is managed with three different approaches, conservative, pharmacological and surgical approaches. However, most of these approaches have failed to improve the outcomes.
Objective: The aim of this study was to evaluate the results of the surgical management of PDA in preterm infants in King Fahd Hospital of the University (KFHU).
Materials and Methods: The medical records of the premature infants (<35 weeks of gestation) treated surgically for having a symptomatic PDA during the period from January 2006 to December 2015 were reviewed to evaluate patients' morbidity and mortality.
Results: 12 premature infants were included. The mean (±SD) gestational age at birth was 27.8 ±1.8 weeks, while the weight at birth was 879 ±348 gm. 4 (33%) babies underwent surgical treatment only while 8 (67%) babies underwent both surgical and medical treatment. The surgical procedure had no contraindications, and closure of PDA was successful in all babies. Pneumothorax was seen in 1 (8.3%) case. 2 (16.7%) babies were died in the follow up period.
Conclusion: The surgical ligation of PDA is a favorable modality of management in preterm infants. It has a high rate of success and a low rate of complications among which pneumothorax is the most common one.

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