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SURGICAL CORRECTION OF THE OPEN ARTERIAL DUCCT IN CHILDREN
- Authors: Razumovsky A.Y.1,2, Alkhasov A.B.1,2, Mitupov Z.B.1,2, Feoktistova E.V.1,2, Sitnikova M.I.1,2, Kollerov M.Y.1,2, Nagornaya Y.V.1,2
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Affiliations:
- Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia
- Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
- Issue: Vol 7, No 3 (2017)
- Pages: 24-32
- Section: Original Study Articles
- Submitted: 06.10.2017
- Accepted: 06.10.2017
- Published: 10.10.2017
- URL: https://rps-journal.ru/jour/article/view/330
- DOI: https://doi.org/10.17816/psaic330
- ID: 330
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Abstract
Introduction. An isolated open arterial duct (OAD) is one of the most common congenital heart disorders. According to literature, every 1 child out of 2,000 children has OAD at birth.
It accounts for 5–10% of all the congenital heart disorders [1].
Material and methods. The article analyzes the results obtained during the minimally invasive surgical treatment of an open arterial duct (OAD) in children. The following two types of surgeries were performed: OAD clipping via an extra pleural mini thoracotomy approach and thoracoscopic clipping. A treatment method is chosen depending on the patient’s severity degree.
Results. Treatment resulted in 100% blood flow termination via the arterial duct in the lack of intraand postoperative lethality and any serious complications in the postoperative period.
Conclusions. It is better to perform OAD clipping in premature children right at the resuscitation unit without transportation of the patients to the operating theater and using the extra pleural minimal thoracic approach.
In elder stable children, thoracoscopic OAD clipping is an effective and reliable treatment method that terminates the pathological blood flow from the open arterial duct irrespective of its form and size.
About the authors
A. Yu. Razumovsky
Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia;Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
Author for correspondence.
Email: fake@neicon.ru
Заведующий кафедрой детской хирургии ГБОУ ВПО РНИМУ им. Н. И. Пирогова МЗ РФ, член-корреспондент РАН, профессор, главный внештатный детский специалист – хирург ДЗ г. Москвы, заведующий отделением детской торакальной хирургии ГБУЗ ДГКБ №13 им. Н. Ф. Филатова ДЗМ Россия
A. B. Alkhasov
Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia;Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
Email: fake@neicon.ru
Профессор кафедры детской хирургии ГБОУ ВПО РНИМУ им. Н. И. Пирогова МЗ РФ, доктор медицинских наук, врач-хирург отделения детской торакальной хирургии и хирургической гастроэнтерологии ДГКБ №13 им. Н. Ф. Филатова ДЗМ Россия
Z. B. Mitupov
Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia;Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
Email: fake@neicon.ru
Доцент кафедры детской хирургии ГБОУ ВПО РНИМУ им. Н. И. Пирогова МЗ РФ Россия
E. V. Feoktistova
Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia;Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
Email: fake@neicon.ru
Кандидат медицинских наук, заведующая отделением ультразвуковой диагностики ФГБУ «ФНКЦ ДГОИ им. Дмитрия Рогачева» Минздрава России
РоссияM. I. Sitnikova
Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia;Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
Email: fake@neicon.ru
Врач высшей категории, специалист по эхокардиографии, функциональной диагностике
РоссияM. Yu. Kollerov
Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia;Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
Email: fake@neicon.ru
Доктор технических наук, профессор, вице-президент производственной компании ЗАО «КИМПФ»
РоссияYu. V. Nagornaya
Department of pediatric surgery, Pirogov Russian National Research Medical University of the Ministry of Health of Russia;Filatov Children’s Municipal Clinical Hospital No. 13, department of chest surgery
Email: fake@neicon.ru
Аспирант кафедры детской хирургии ГБОУ ВПО РНИМУ им. Н. И. Пирогова МЗ РФ. Е-mail: jov@list.ru Россия
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