SURGICAL CORRECTION OF THE OPEN ARTERIAL DUCCT IN CHILDREN

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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 Russian Federation

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 Russian Federation

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 Russian Federation

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

Russian Federation

M. 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

Russian Federation

M. 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»

Russian Federation

Yu. 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 Russian Federation

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Copyright (c) 2017 Razumovsky A.Y., Alkhasov A.B., Mitupov Z.B., Feoktistova E.V., Sitnikova M.I., Kollerov M.Y., Nagornaya Y.V.

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