Patent DuctusArteriosus Treatment: Size does Matter

Abstract

Patent DuctusArteriosus ( PDA ) is one of the commonest acyanotic congenital heart disease. Surgical or device closure is done when medical management fails. Choice of management depends on size of PDA. A study was conducted to assess the type of surgical technique to be followed either direct ligation or division and suturing. 10 Cases of PDA were studied from May 2012 to May 2017 ages ranged from 12 days to five years with youngest weighing 650 grams. There were no postoperative complications and death. In two patients division suturing done and in other eight ligation was done. Repeat 2 D echo after three months did not show recanalization in either group. Conclusion was both techniques are equally effective but division suturing was more difficult than ligation.