Surgical Closure of Persistent Arterial Duct with Minimal Invasive Anterior Thoracotomy: An Alternative Technique

Abstract

Surgical approach for persistent ductus arteriosus ligation is typically a left lateral thoracotomy opening the pleural-space with left lung retraction. We describe an alternative approach, with a minimally invasive anterior parasternal incision. This is particularly adapted to preterm infants weighing less than 1.5 kg. This approach ensures a good exposure of vessels. We believe that it is safe, reliable and reproducible. The learning curve should not be an issue for surgeons used to manage low weight patients.

Keywords

PDA - premature - surgical approach

• References

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