Journal of Pediatric Surgery
Volume 30, Issue 7 , Pages 1057-1060 , July 1995

Thoracoscopic closure of patent ductus arteriosus: A less traumatic and more cost-effective technique

  • Steven S Rothenberg

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Steven S. Rothenberg, MD, Rocky Mountain Pediatric Surgery, PC, 1601 E 19th Ave, No. 3200, Denver, CO 80218.
    • Department of Pediatric Surgery, Presbyterian/St Luke's Medical Center for Children, Denwer, CO, USA.
    • Department of Pediatric Cardiology, Presbyterian/St Luke's Medical Center for Children, Denver, CO, USA.
  • ,
  • Jack H.T Chang

      Affiliations

    • Department of Pediatric Surgery, Presbyterian/St Luke's Medical Center for Children, Denwer, CO, USA.
    • Department of Pediatric Cardiology, Presbyterian/St Luke's Medical Center for Children, Denver, CO, USA.
  • ,
  • Warren H Toews

      Affiliations

    • Department of Pediatric Surgery, Presbyterian/St Luke's Medical Center for Children, Denwer, CO, USA.
    • Department of Pediatric Cardiology, Presbyterian/St Luke's Medical Center for Children, Denver, CO, USA.
  • ,
  • Reginald L Washington

      Affiliations

    • Department of Pediatric Surgery, Presbyterian/St Luke's Medical Center for Children, Denwer, CO, USA.
    • Department of Pediatric Cardiology, Presbyterian/St Luke's Medical Center for Children, Denver, CO, USA.

References 

  1. Zachman RD, Steinmetz GP, Botham RJ, et al.  Incidence and treatment of patent ductus arteriosus in the ill premature neonate. Am Heart J. 1974;87:697–703
  2. Gross RE, Hubbard JP. Surgical ligation of a patent ductus arteriosus. Report of first successful case. JAMA. 1939;112:729–731
  3. Panagopoulos PH, Tatooles CJ, Aberdeen E, et al.  Patent ductus arteriosus in infants and children: A review of 936 operations. Thorax. 1971;26:137–144
  4. Trippested A, Efskind L. Patent ductus arterosus. Surgical treatment of 686 patients. Scand J Thorac Cardiovasc Surg. 1972;6:38–42
  5. Vaizquez JJ, Murcia J, DiezPardo JA. Morbid musculoskeletal sequelae of thoracotomy for tracheoesophageal fistula. J Pediatr Surg. 1985;20:511–514
  6. Shelton JE, Rosemary J, Walbaugh E, et al.  Functional scoliosis as a longterm complication of surgical ligation for patent ductus arteriosus in premature infants. J Pediatr Surg. 1986;21:855–857
  7. Rothenberg SS, Pokorny WJ. Experience with a total muscle-sparing approach for thoracotomies in neonates, infants, and children. J Pediatr Surg. 1992;27:1157–1160
  8. Portsmann W, Wierny L, Warnake H, et al.  Catheter closure of patent ductus arteriosus, 62 cases treated without thoracotomy. Radiol Clin North Am. 1971;9:203–218
  9. Rashkind WJ, Mullins CE, Hellenbrand WE, et al.  Nonsurgical closure of patent ductus arteriosus: Clinical application of the Rashkind PDA Occluder System. Circulation. 1987;75:583–592
  10. Gray DT, Fyler DC, Walker AM, et al.  Clinical outcomes and cost of the transcatheter as compared with surgical closure of patent ductus arteriosus. N Engl J Med. 1993;329:1517–1523
  11. Laborde F, Noirhomme P, Karam J, et al.  A new video assisted thoracoscopic surgical technique for interruption of patent ductus arteriosus in infants and children. J Thorac Cardiovasc Surg. 1993;87:870–875
  12. Burke RP. Video-assisted thoracoscopic surgery for patent ductus arteriosus. Pediatrics. 1994;93:823–825

 Presented at the 1994 Annual Meeting of the Section on Surgery of the American Academy of Pediatrics, Dallas, Texas, October 21–23, 1994.

PII: 0022-3468(95)90341-0

Journal of Pediatric Surgery
Volume 30, Issue 7 , Pages 1057-1060 , July 1995