Video-assisted thoracoscopic versus open surgery for persistent ductus arteriosus

To Close or Not to Close: The Very Small Patent Ductus Arteriosus

“…During the same time period, surgical techniques for PDA ligation have improved, with the development of less invasive approaches with shorter recovery times and fewer operative complications. In the current era, thoracoscopic PDA closure is routinely employed, with similar acute outcomes to open closure 28,29 . Schneider et al.…”

“…In the current era, thoracoscopic PDA closure is routinely employed, with similar acute outcomes to open closure. 28,29 Schneider et al cited 94-100% overall success rates and 0-2% mortality with surgical closure. They remarked that a surgical approach remains the treatment of choice for the very large ductus.…”

Unilateral Vocal Cord Paralysis Following Patent Ductus Arteriosus Ligation in Extremely Low-Birth-Weight Infants

“…[1][2][3][4] Iatrogenic vocal cord paralysis following this PDA ligation is an uncommon complication, with rates between 0.7% and 8.8%. [4][5][6][7][8][9][10][11][12][13][14][15][16] Most studies have, however, included older children. In low-birthweight (LBW) and preterm infants, overall trends in the few studies [10][11][12][13][14][15][16] examining the incidence of this complication are suggestive of an increasing incidence with decreasing infant weight.…”

Video-assisted thoracoscopic ligation of a patent ductus arteriosus in a very low-birth-weight infant using a novel retractor

“…Video-assisted thoracoscopic surgery patent ductus arteriosus (PDA) ligation was first described in 1993 and is currently performed at many centers worldwide [3,4]. However, this technique has not been widely used to treat PDA in the premature very low-birthweight infant (VLBW) less than 1500 g. The use of VATS in these patients is problematic because of the inherent increased fragility of their tissues and the associated difficulty in exposing the PDA.…”