Extremely Low Birth Weight Infants with Patent Ductus Arteriosus: Searching for the Least Invasiveness

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dc.contributor.authorOc, Mehmet
dc.contributor.authorFarsak, Bora
dc.contributor.authorOc, Bahar
dc.contributor.authorYildirim, Serkan
dc.contributor.authorSimsek, Murat
dc.date.accessioned2020-03-26T18:25:47Z
dc.date.available2020-03-26T18:25:47Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPatent ductus arteriosus (PDA) is an important problem in premature infants. Extremely low birth weight infants (ELBWI) are so fragile with respect to surgical stress that minimally invasive procedures are required. We report 26 ELBWI cases with PDA who underwent surgical closure. All had failed indomethacin treatment, or it had been contraindicated. The mean gestational age at birth was 27 weeks (range, 24-38 weeks), and the mean birth weight was 960.96 g (range, 710-1440 g). The mean age at operation was 18.06 days (range, 7-34 days), and the mean body weight at operation was 989.42 g (range, 680-1460 g). There was no surgery-related mortality or morbidity. Our surgical procedures consisted of posterior muscle-sparing thoracotomy, clipping the PDA and no ligation, and closing the thorax without a tube thoracostomy. Muscle-sparing thoracotomy reduces the likelihood of long-term physical impairment and deformity, the clipping technique minimizes the dissection of surrounding PDA tissue, and the thorax is closed without a tube. Nursing care is simplified, costs are reduced, and the number of chest x-rays needed postoperatively is reduced. We believe that surgical closure of PDA without chest tube drainage can be accomplished safely in premature infants.en_US
dc.identifier.doi10.1532/HSF98.20121069en_US
dc.identifier.endpageE304en_US
dc.identifier.issn1098-3511en_US
dc.identifier.issue6en_US
dc.identifier.pmid23262042en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpageE302en_US
dc.identifier.urihttps://dx.doi.org/10.1532/HSF98.20121069
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28056
dc.identifier.volume15en_US
dc.identifier.wosWOS:000312717200002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherFORUM MULTIMEDIA PUBLISHING, LLCen_US
dc.relation.ispartofHEART SURGERY FORUMen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleExtremely Low Birth Weight Infants with Patent Ductus Arteriosus: Searching for the Least Invasivenessen_US
dc.typeArticleen_US

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