| A Case of Video-Assisted
Thoracoscopic Surgery for Clipping the Patent Ductus Arteriosus
in a Child |
(Department of Cardiovascular Surgery, Cardiovascular
Center Sakakibara Hospital, Okayama, Japan)
| Mitsuaki Matsumoto |
Takato Hata |
Kohki Nakamura |
| Yoshimasa Tsushima |
Sohei Hamanaka |
Hidenori Yoshitaka |
| Susumu Shinoura |
Hitoshi Minami |
Satoru Otani |
|
We performed a video-assisted thoracoscopic
surgery (VATS) to clip the patent ductus arteriosus (PDA), which
was 5 mm in internal diameter, in an 11-year-old girl, who first
underwent a coil embolization ending in failure. Under general
anesthesia with one-lung ventilation in a right lateral decubitus
position, four thoracostomies were made in the left hemithorax.
The PDA was clipped by two titanium clips, the length of which
is 11 mm at closing. Transesophageal echocardiography confirmed
the location of the PDA and the absence of a residual shunt.
The patient showed neither left recurrent laryngeal nerve dysfunction
nor hemorrhage after operation, and was discharged on the 9th
postoperative day. The clipping of the PDA by VATS can be applied
for PDA without calcification if the external diameter is up
to 7 mm. This technique was minimally invasive and reliable.
It was excellent in terms of the high quality of life achieved
by the patient.
Jpn. J. Cardiovasc. Surg. 29: 49-52 (2000) |
|
