Ligation cum division-suture of patent ductus arteriosus

Abstract

Objective. To describe a combined ligation cum division-suture technique for closure of patent ductus arteriosus.Technique. The ductus is isolated using hypotensive anaesthesia. A single clamp is applied at the aortic end. The pulmonary arterial end is ligated. Another ligature transfixes the ductus. A mattress suture is passed through the aortic end. The ductus is now divided. The aortic end is closed using a second row of over and over sutures. Conclusion.Single clamp technique for ligation cum division-suture of patent ductus is simple and safe. (Ind J Thorac Cardiovasc Surg, 2001; 17: 258-259)