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  • Title: A safe technique for closure of patent ductus arteriosus in adult patients.
    Author: Li FQ, Sun L, Hu J, Pan H.
    Journal: Surg Innov; 2010 Sep; 17(3):195-7. PubMed ID: 20656758.
    Abstract:
    A patent ductus arteriosus (PDA) can be closed using various procedures, including transcatheter closure, video-assisted thoracoscopic surgery, and conventional surgery with division and suture. These procedures are feasible for treatment of PDA in a child, but are believed to be challenging when employed in an adult. The main danger is intraoperative bleeding. With a hemorrhage, inadvertent ductus damage/perforation during the isolated ductus, the traditional surgical approach was accomplished with considerable difficulty. This study reports a new procedure for these adult patients using an intrapericardial approach to the ductus. The operation was done as an emergency salvage procedure. Based on the results from the 4 cases of PDA, such technique is found to be simple, safe, and effective.
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