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Author Karaci, Ali Riza ♦ Sasmazel, Ahmet ♦ Turkay, Saritas ♦ Aydemir, Numan ♦ Harmandar, Bugra ♦ Bugra, Harmandar ♦ Erdem, Hasan ♦ Ibrahim, Yekeler
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Wiley
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Natural sciences & mathematics ♦ Life sciences; biology ♦ Physiology & related subjects ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Human physiology ♦ Pharmacology and therapeutics ♦ Diseases ♦ Surgery & related medical specialties ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Cardiovascular Diseases ♦ Pathological Conditions, Signs and Symptoms ♦ Diseases ♦ Diagnosis ♦ Therapeutics ♦ Surgical Procedures, Operative ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Physical Phenomena ♦ Biological Sciences ♦ Persons ♦ Persons
Subject Keyword Discipline Cardiology ♦ Discipline Surgery ♦ Ductus Arteriosus, Patent ♦ Surgery ♦ Infant, Premature ♦ Minimally Invasive Surgical Procedures ♦ Methods ♦ Thoracotomy ♦ Airway Extubation ♦ Birth Weight ♦ Body Weight ♦ Mortality ♦ Female ♦ Humans ♦ Infant, Newborn ♦ Male ♦ Regression Analysis ♦ Retrospective Studies ♦ Risk Factors ♦ Time Factors ♦ Treatment Outcome ♦ Journal Article
Abstract OBJECTIVES: We present a surgical technique for closure of a patent ductus arteriosus (PDA) in pre-term neonates. Left anterior mini-thoracotomy is a surgical procedure that consists of an anterior mini-thoracotomy (~1.5 cm) below the clavicle, clipping the PDA, and closing the thorax without a tube thoracotomy. METHODS: Using this method between 2009 and 2012, we performed PDA closure in 32 pre-term neonates. Logistic regression analysis of potential risk factors for mortality was determined. RESULTS: The mean weight of the patients at the operation was 822.81 ± 24.59. The mean age at the operation was 28.97 ± 2.20 days. No surgery-related mortalities occurred. Four short-term mortalities occurred after the operation (12.5%) before the patients could be discharged. Three were due to sepsis, and one was due to necrotizing enterocolitis. According to the linear regression analysis, no other variables were found to be statistically significant for predicting mortality. A negative linear correlation was found between the weight of the patients at the operation and extubation time (p = 0.39; r = -0.39). CONCLUSION: The surgical outcome of anterior mini-thoracotomy for PDA closure in neonates is compatible with good results. This technique may be advantageous for extremely low birth weight infants and results in less traction on the lungs.
Description Country affiliation: Turkey
Author Affiliation: Karaci AR ( Cardiovascular Surgery Clinic, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Haydarpasa, Istanbul, Turkey.)
ISSN 08860440
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2013-07-01
Publisher Place United States
e-ISSN 15408191
Journal Journal of Cardiac Surgery
Volume Number 28
Issue Number 4

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Source: WHO-Global Index Medicus