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动脉导管未闭的外科治疗。413例病例回顾。

Surgical management of patent ductus arteriosus. A review of 413 cases.

作者信息

Ghani S A, Hashim R

出版信息

J R Coll Surg Edinb. 1989 Feb;34(1):33-6.

PMID:2709356
Abstract

Ligation under controlled hypotension is a simple, quick and effective surgical management of patent ductus arteriosus. In this study 413 cases are reviewed: clinical presentations, cardiac catheterization and operative findings are studied in relation to the surgical procedures. Ligation of the ductus was the treatment of choice in 357 cases irrespective of the age and size of the ductus with only four instances of recanalization which needed religation. Other procedures included division and suture, patch aortoplasty, transaortic patch and transpulmonary closure under profound hypothermia and arrest. There were two deaths and only five major types of morbidities described.

摘要

控制性低血压下结扎术是治疗动脉导管未闭简单、快速且有效的外科方法。本研究回顾了413例病例:研究了临床表现、心导管检查和手术发现与手术方式的关系。357例病例选择结扎动脉导管,不论动脉导管的年龄和大小,仅有4例再通需要再次结扎。其他手术方式包括切断缝合、补片主动脉成形术、经主动脉补片和在深度低温停循环下经肺动脉闭合术。有2例死亡,仅描述了5种主要的并发症类型。

相似文献

1
Surgical management of patent ductus arteriosus. A review of 413 cases.动脉导管未闭的外科治疗。413例病例回顾。
J R Coll Surg Edinb. 1989 Feb;34(1):33-6.
2
A safe technique for closure of the recurrent patent ductus arteriosus.一种用于闭合复发性动脉导管未闭的安全技术。
J Thorac Cardiovasc Surg. 1976 Aug;72(2):232-4.
3
Comparison of suture ligation and clip application for the treatment of patent ductus arteriosus in preterm neonates.早产儿动脉导管未闭治疗中缝线结扎与夹子夹闭的比较。
J Thorac Cardiovasc Surg. 2006 Sep;132(3):672-4. doi: 10.1016/j.jtcvs.2006.04.040.
4
Surgical treatment of patent ductus arteriosus (PDA). Analysis of 145 cases operated on in Abidjan (Cote D'Ivoire).
West Afr J Med. 1995 Jan-Mar;14(1):43-5.
5
The adult ductus: review of surgical experience with 131 patients.成人动脉导管:131例手术经验回顾
J Thorac Cardiovasc Surg. 1981 Aug;82(2):314-9.
6
[Diagnosis and surgical treatment of 102 cases of ventricular septal defect with patent ductus arteriosus].102例室间隔缺损合并动脉导管未闭的诊断与外科治疗
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2005 Apr;30(2):221-3.
7
[Surgical treatment of difficult patent ductus arteriosus and related operative complications].
Zhonghua Wai Ke Za Zhi. 1996 May;34(5):273-5.
8
Modified extrapleural ligation of patent ductus arteriosus: a convenient surgical approach in a developing country.改良动脉导管未闭胸膜外结扎术:发展中国家一种简便的手术方法
Ann Thorac Surg. 2005 Feb;79(2):632-5. doi: 10.1016/j.athoracsur.2004.07.035.
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Closure of the patent ductus arteriosus on cardiopulmonary bypass: use of the Fogarty balloon catheter and transpulmonary suture-ligation.体外循环下动脉导管未闭的闭合:Fogarty球囊导管及经肺动脉缝扎术的应用
J R Coll Surg Edinb. 1989 Apr;34(2):63-5.
10
Transcatheter management of patent ductus arteriosus in sick ventilated small infants.患病机械通气小婴儿动脉导管未闭的经导管治疗
Indian Heart J. 2004 May-Jun;56(3):232-4.

引用本文的文献

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The Patent Ductus Arteriosus in Adults with Special Focus on Role of CT.成人动脉导管未闭,特别关注CT的作用
Diagnostics (Basel). 2021 Dec 19;11(12):2394. doi: 10.3390/diagnostics11122394.
2
Pulmonary artery closure in combination with patch technique for treating congenital heart disease combined with large patent ductus arteriosus: A clinical study of 9 cases.肺动脉环缩联合补片技术治疗先天性心脏病合并大型动脉导管未闭:9例临床研究
Pak J Med Sci. 2016 May-Jun;32(3):539-44. doi: 10.12669/pjms.323.9872.
3
Profound Bradycardia following Patent Ductus Arteriosus Closure; A Rare but Correctable Event.
动脉导管未闭封堵术后严重心动过缓:一种罕见但可纠正的情况。
Bull Emerg Trauma. 2013 Jul;1(3):130-2.
4
Comparison of cost-effectiveness and postoperative outcome of device closure and open surgery closure techniques for treatment of patent ductus arteriosus.用于治疗动脉导管未闭的器械封堵术与开放手术封堵术的成本效益及术后结果比较。
ARYA Atheroscler. 2014 Jan;10(1):37-40.
5
Safety of percutaneous patent ductus arteriosus closure: an unselected multicenter population experience.经皮动脉导管未闭封堵术的安全性:一项未经选择的多中心人群经验。
J Am Heart Assoc. 2013 Nov 27;2(6):e000424. doi: 10.1161/JAHA.113.000424.
6
Large patent ductus arteriosus in an adult complicated by pulmonary endarteritis and embolic lung abscess.成人巨大动脉导管未闭合并肺动脉内膜炎和栓塞性肺脓肿。
Heart Int. 2011;6(2):e16. doi: 10.4081/hi.2011.e16. Epub 2011 Oct 21.
7
Re-occlusion of residual leaks after transcatheter occlusion of patent ductus arteriosus.动脉导管未闭经导管封堵术后残余分流的再封堵
Eur J Pediatr. 1995 Jul;154(7):518-21. doi: 10.1007/BF02074825.