Transaxillary Surgical Ligation of Patent Ductus Arteriosus in Paediatric Group of Patient

Abstract

Background: Patent ductus arteriosus is a frequent congenital anomaly with left to right shunt. The aim of this study is to assess 3 years’ experience of transaxillary approach in surgical ligation of patent ductus arteriosus.

Methods: In three years from July 2015 to September 2017, 46 patients underwent in surgical ligation of patent ductus arteriosus through transaxillary approach. All patients had undergone elective operation. Intra operative and post-operative data were analyzed and follow up after 1 month and 3 years.

Results: There were 18 male (39%) and 28 female (61%). Their age range was from 5 months to 10 years months (mean 39.2±24.7 months) and body weight ranges from 4.5 kg to 32 kg (mean 16.05±6.63 kg).There was no mortality or residual patency. Morbidity includes superficial wound infection and chylothorax. All patient discharge on 3rd-5th postoperative day except those who developed chylothorax was discharged after 8 days.

Conclusion: Trans axillary approach for closure of PDA has moved from an alternative incision to a standard posterolateral incision in our experience. It is less traumatic and more cosmetic.

Cardiovasc. j. 2019; 11(2): 114-117