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Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy
The surgical closure of patent ductus arteriosus (PDA) is provided more frequently in extremely low birth weight babies who are usually deemed unsuitable for pharmacological closure. We have adopted subaxillary mini-thoracotomy in order to lessen surgical trauma in these babies; and its clinical res...
Autores principales: | , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Academy of Medical Sciences
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800029/ https://www.ncbi.nlm.nih.gov/pubmed/20052343 http://dx.doi.org/10.3346/jkms.2010.25.1.24 |
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author | Cho, Jungsoo Yoon, Yong Han Kim, Joung Taek Kim, Kwang Ho Lim, Hyun Kyung Jun, Yong Hoon Hong, Young Jin Baek, Wan Ki |
author_facet | Cho, Jungsoo Yoon, Yong Han Kim, Joung Taek Kim, Kwang Ho Lim, Hyun Kyung Jun, Yong Hoon Hong, Young Jin Baek, Wan Ki |
author_sort | Cho, Jungsoo |
collection | PubMed |
description | The surgical closure of patent ductus arteriosus (PDA) is provided more frequently in extremely low birth weight babies who are usually deemed unsuitable for pharmacological closure. We have adopted subaxillary mini-thoracotomy in order to lessen surgical trauma in these babies; and its clinical results were analyzed. From April 2004 to August 2008, out of 50 babies at the neonatal intensive care unit who underwent the surgical closure of PDA, 22 premature babies weighing less than 1 kg at operation were included in the study. Eleven babies were males and mean gestational age was 27 weeks ranging from 23(+3) to 30(+2) weeks. Mean body weight at operation was 816 g ranging from 490 to 989 g and average age at operation was 17.9±11.9 days. Of them, 17 babies (72%) were ventilator dependent preoperatively, as compared with 13 out of 28 (46%) babies that weighed more than 1 kg (P<0.05). Four babies did not survive to discharge. Among 28 babies who were heavier than 1 kg, there were only one death. However, the mortality difference was not statistically significant (P=0.11). All mortalities were caused by inherent problems of prematurity and co-morbidities. Out of 17 babies who had been ventilator dependent preoperatively, 13 weaned off successfully at 17.0±23.9 days after the operation. The baby patients heavier than 1 kg weaned at 6.0±5.3 days (P=0.27). Surgical outcome of simple and less invasive subaxillary mini-thoracotomy was satisfactory; the surgery is highly recommended for ductal closure in extremely low weight premature babies. |
format | Text |
id | pubmed-2800029 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-28000292010-01-05 Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy Cho, Jungsoo Yoon, Yong Han Kim, Joung Taek Kim, Kwang Ho Lim, Hyun Kyung Jun, Yong Hoon Hong, Young Jin Baek, Wan Ki J Korean Med Sci Original Article The surgical closure of patent ductus arteriosus (PDA) is provided more frequently in extremely low birth weight babies who are usually deemed unsuitable for pharmacological closure. We have adopted subaxillary mini-thoracotomy in order to lessen surgical trauma in these babies; and its clinical results were analyzed. From April 2004 to August 2008, out of 50 babies at the neonatal intensive care unit who underwent the surgical closure of PDA, 22 premature babies weighing less than 1 kg at operation were included in the study. Eleven babies were males and mean gestational age was 27 weeks ranging from 23(+3) to 30(+2) weeks. Mean body weight at operation was 816 g ranging from 490 to 989 g and average age at operation was 17.9±11.9 days. Of them, 17 babies (72%) were ventilator dependent preoperatively, as compared with 13 out of 28 (46%) babies that weighed more than 1 kg (P<0.05). Four babies did not survive to discharge. Among 28 babies who were heavier than 1 kg, there were only one death. However, the mortality difference was not statistically significant (P=0.11). All mortalities were caused by inherent problems of prematurity and co-morbidities. Out of 17 babies who had been ventilator dependent preoperatively, 13 weaned off successfully at 17.0±23.9 days after the operation. The baby patients heavier than 1 kg weaned at 6.0±5.3 days (P=0.27). Surgical outcome of simple and less invasive subaxillary mini-thoracotomy was satisfactory; the surgery is highly recommended for ductal closure in extremely low weight premature babies. The Korean Academy of Medical Sciences 2010-01 2009-12-26 /pmc/articles/PMC2800029/ /pubmed/20052343 http://dx.doi.org/10.3346/jkms.2010.25.1.24 Text en © 2010 The Korean Academy of Medical Sciences. http://jkms.org/index.php-main=terms This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Cho, Jungsoo Yoon, Yong Han Kim, Joung Taek Kim, Kwang Ho Lim, Hyun Kyung Jun, Yong Hoon Hong, Young Jin Baek, Wan Ki Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy |
title | Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy |
title_full | Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy |
title_fullStr | Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy |
title_full_unstemmed | Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy |
title_short | Patent Ductus Arteriosus Closure in Prematurities Weighing Less than 1 Kg by Subaxillary Mini-thoracotomy |
title_sort | patent ductus arteriosus closure in prematurities weighing less than 1 kg by subaxillary mini-thoracotomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800029/ https://www.ncbi.nlm.nih.gov/pubmed/20052343 http://dx.doi.org/10.3346/jkms.2010.25.1.24 |
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