Transthoracic Patent Ductus Arteriosus ligation without chest drain insertion

• Published in: Annals of King Edward Medical University Vol. 10; no. 2
• Main Authors: Bilal, Aamir, Nadeem, Asif, Nabi, Muhammad Shoaib
• Format: Journal Article
• Language: English
• Published: 11.05.2016
• ISSN: 2079-7192; 2079-0694
• DOI: 10.21649/akemu.v10i2.1200

To study safety of doing Transthoracic, Patent Ductus Arteriosus Ligation without chest tube insertion. Study Design: Observational, Prospective, Descriptive. Place and Duration: Department of Cardiothoracic Surgery, Postgraduate Medical Institute, Lady Reading Hospital from June 2002 to June 2004. Material and methods: This prospective study was done to study the results of this selective approach in forty five (45) patients, operated by transthoracic approach between June 2002 and June 2004 for patent ductus arteriosus ligation. There were 27 females and 18 males, ranging in age from 06 months to 07 years (mean: 2.3 years) and a weight of 6.0 kg to 22.1 kg (mean 11.3 kg). Patients < 07 years, with no pulmonary pathology, no peroperative pulmonary adhesion, no per operative ruptured ductus arteriosus and with good lung expansion prior to the chest closure were included in this study. Patient more than 07 years of age, with extreme adhesion and those whose patent ductus arteriosus ruptured during dissection were excluded from this study. Parents of the patients were informed about potential risks of this selective approach. Only those patients whose parents had given adequate; informed consent were eligible for this study. Results: There was no mortality. No drain related morbidity Iike pneumothorax, haemothorax or chylothorax occurred. P ostoperatively children had less analgesia, earlier feeds and mobilization. Mothers were not apprehensive about holding or feeding the baby. Consequently there was earlier discharge to home. In addition these children had a more cosmetic scar, and no drain related problems. Conclusion: A selective approach to the use of chest tube in Transthoracic approach for patent ductus arteriosus can be safe, cost effective and patient friendly.