Ligation of left pulmonary artery instead of patent ductus arteriosus

• Published in: Cardiology in the young Vol. 30; no. 12; pp. 1943 - 1945
• Main Authors: Yucel, Semih Murat, Sahin, Irfan Oguz
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.12.2020
• Subjects: Analgesics; Aneurysms; Bleeding; Cardiac arrhythmia; Complications; Congenital diseases; Coronary vessels; Echocardiography; Fetuses; Health services; Hypotension; Hypoxia; Medical imaging; Neonates; Nonsteroidal anti-inflammatory drugs; Ostomy; Patients; Pneumothorax; Postoperative period; Pulmonary arteries; Pulmonary artery; Surgery; Surgical outcomes; Veins & arteries; Ventilators; Veterinarians; left pulmonary artery; patent ductus arteriosus; Ligation; newborn
• ISSN: 1047-9511; 1467-1107
• DOI: 10.1017/S1047951120002784

Ductus arteriosus is an essential component of fetal circulation. Due to occurring changes in the cardiopulmonary system physiology after birth, ductus arteriosus closes. Patent ductus arteriosus can be closed by medical or invasive (percutaneous or surgical) treatment methods. Percutaneous or surgical closure of patent ductus arteriosus can be performed for the cases that medical closure failed. Surgical treatment is often preferred method for closure of patent ductus arteriosus in the neonatal period. The most common surgical complications are pneumothorax, recurrent laryngeal nerve injury, bleeding, and recanalisation. A very rare surgical complication is left pulmonary artery ligation that has been presented in a few cases in the literature. Echocardiography control should be performed in the early post-operative period, especially in patients with clinical suspicion. If reoperation is required, it should never be delayed. We report a newborn patient whose left pulmonary artery ligated accidentally during patent ductus arteriosus closure surgery and surgical correction of this complication at the early post-operative period.