Yucel Semih Murat, Sahin Irfan Oguz
Department of Cardiovascular Surgery, Ondokuz Mayıs University, Samsun, Turkey.
Department of Pediatrics, Division of Pediatric Cardiology, Ondokuz Mayıs University, Samsun, Turkey.
Cardiol Young. 2020 Dec;30(12):1943-1945. doi: 10.1017/S1047951120002784. Epub 2020 Sep 9.
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.
动脉导管是胎儿循环的重要组成部分。由于出生后心肺系统生理发生变化，动脉导管会关闭。动脉导管未闭可通过药物或侵入性（经皮或手术）治疗方法关闭。对于药物治疗失败的病例，可进行经皮或手术关闭动脉导管未闭。手术治疗通常是新生儿期动脉导管未闭关闭的首选方法。最常见的手术并发症是气胸、喉返神经损伤、出血和再通。一种非常罕见的手术并发症是左肺动脉结扎，文献中已有少数病例报道。术后早期应进行超声心动图检查，尤其是有临床怀疑的患者。如果需要再次手术，绝不应延迟。我们报告了一名新生儿患者，其在动脉导管未闭关闭手术中意外结扎了左肺动脉，并在术后早期对该并发症进行了手术矫正。
