Multiple Ligations in Patent Ductus Arteriosus
Journal Title: Journal of Cardiovascular Medicine and Surgery - Year 2017, Vol 3, Issue 2
Abstract
Background: Congenital heart disease encompasses a wide range of anomalies, that result from abnormal fetal development of heart and great vessels. Ductus arteriosus is a normal fetal vascular structure that allows blood from right ventricle to bypass the high resistance pulmonary vascular bed and pass directly to systemic circulation. Following birth the ductus closes, and in some patients if it does not close, left to right shunting occurs, causing volume overload of left heart, followed by its further sequel. Material and Methods: The study was conducted on all the patients, operated for patent ductus arteriosus in the Department of Cardio Vascular and Thoracic surgery. Results: A total of 79 patients mostly in 1st decade of life, irrespective of age, sex, presentation and surgical outcome were included in the study. 24 patients (30.37%) had history of preterm delivery. Systodiastolic murmur was audible in majority, and echocardiographic evidence of patent ductus arteriosus was present in all. Multiple ligation of the patent ductus was the surgical procedure of choice, long term results in survivors were excellent. Conclusion: Patent ductus arteriosus is a common congenital anomaly, presentation is suggestive, clinical examination is diagnostic, echocardiography is confirmative, multiple ligation is the operation of choice and long term results in survivors areexcellent.
Authors and Affiliations
Ishtyak Ahmed Mir
Keywords
Related Articles
- EP ID EP462584
- DOI 10.21088/jcms.2454.7123.3217.6
- Views 81
- Downloads 0
Right Ventricular Myxoma: Rare but a Known Entity Nowadays
Cardiac myxomas are the most common benign tumors of the heart. Ventricular myxomas are rarely described. We evaluated a young female who presented with syncope and dyspnea. 2D echo and CT pulmonary angiography were done...
A Study of Concentration of hsCRP and Troponin T in NSTEMI and STEMI Patients
Aim: Our recent studies have shown that to investigate the concentration of hsCRP and Troponin-T in NSTEMI and STEMI patients. Myocardial infarction is the impairment of heart function due to inadequate blood flow to the...
Myocardial Infarction in “Women”: Clinical Profile and Risk Factors
Background and Objectives: The risk of cardiovascular disease (CVD) in women has been historically underestimated due to a misperception that females are protected against CVD. There are limited studies of the risk facto...
Intraoperative Flow Measurement of Saphenous Vein Graft: Transit Time Flowmetry Measurement Versus Free Flow Measurement
Background: According to European Association for Cardio-Thoracic Surgery (EACTS) and European Society of Cardiology (ESC) guidelines, Transit time flowmetry (TTFM) is recommended for intraoperative graft patency verific...
Clinical course of patients with Tombstoning ST-Elevation Myocardial Infarction
Introduction: Tombstoning ST- segment elevation is a type of ST-segment elevation with a specific morphology which is observed in the early period of acute myocardial infarction (AMI). We aimed to study the clinical cour...