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ORIGINAL ARTICLE
Year : 2020  |  Volume : 5  |  Issue : 2  |  Page : 43-46

Open ligation of persistent ductus arteriosus still a reliable modality in a resource-challenged environment


1 Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Ilorin; Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria
2 Department of Surgery, Division of Thoracic and Cardiovascular Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria
3 Christiaan Barnard Division of Cardiothoracic Surgery, Groote Schuur Hospital, Cape Town, South Africa
4 Department of Paediatrics and Child Health, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria
5 Department of Anaesthesia, University of Ilorin and University of Ilorin Teaching Hospital, Ilorin, Nigeria

Correspondence Address:
Dr. Oluwaseun Rukeme Akanbi
Department of Surgery, University of Ilorin Teaching Hospital, P.M.B. 1459, Oke Ose, Kwara State, Ilorin
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njct.njct_11_21

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Background: Persistent ductus arteriosus (PDA) is one of the most common congenital heart diseases, and its management ranges from pharmacologic, surgical, or catheter-based therapy. Advances in cardiac surgery have made ligation of PDAs a safe surgical procedure. Objective: The objective of this study is to evaluate the experience in the surgical management of PDA at the University of Ilorin Teaching Hospital. Subjects and Methods: Retrospective data of patients who had open ligation of PDA at the Thoracic and Cardiovascular Surgery division University of Ilorin Teaching Hospital from 2006 to 2021 were reviewed. Results: Of the 27 patients (10 males and 17 females), 25 had left posterolateral thoracotomy for PDA ligation. Their median age was 1 year. The mean weight was 7.75 kg with a range of 3.9–20 kg. The mean preoperative PDA size by echocardiography was 5.06 mm and a range of 3–8 mm. Krichenko type B was the most common morphology seen in eight of the patients. The majority (18) had no other comorbidities, whereas two had cardiac and seven had extracardiac comorbidities. Two patients developed pulmonary complications (pneumonia and pulmonary edema), one patient developed surgical site infection and one patient postoperative pyrexia and seizures which resulted in the only observed mortality. Conclusions: We report our experience with surgical ligation of PDA the only treatment modality at our institution currently as we lack the capacity for transcatheter closure.


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