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Residual patency of the arterial duct subsequent to surgical ligation

Published online by Cambridge University Press:  19 August 2008

Nili Zucker
Affiliation:
From the Departments of Paediatric Cardiology and Cardiac Surgery, Guy's Hospital, London
Shakeel A. Qureshi*
Affiliation:
From the Departments of Paediatric Cardiology and Cardiac Surgery, Guy's Hospital, London
Edward J. Baker
Affiliation:
From the Departments of Paediatric Cardiology and Cardiac Surgery, Guy's Hospital, London
Philip B. Deverall
Affiliation:
From the Departments of Paediatric Cardiology and Cardiac Surgery, Guy's Hospital, London
Michael Tynan
Affiliation:
From the Departments of Paediatric Cardiology and Cardiac Surgery, Guy's Hospital, London
*
Dr. Shakeel A. Qureshi,Department of Paediatric Cardiology, Guy's Hospital, St. Thomas Street, London SE1 9RT, United Kingdom. Tel,071 955 4616; Fax. 071 955 4614.

Summary

Clinical and Doppler echocardiography were performed in 65 patients who had undergone ligation of the arterial duct between January 1978 and December 1991. Of the patients, 12 (18%) patients had residual patency as demonstrated by color Doppler, while three (4.6%) of these had continuous murmurs. There was no association between residual patency and the age at surgery, the weight at surgery or the follow-up interval.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1993

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References

1.Campbell, M. Natural history of persistent ductus arteriosus. Br Heart J 1968; 30: 414.CrossRefGoogle ScholarPubMed
2.Lerner, PI, Weistein, I. Infective endocarditis in the antibiotic era. N Eng J Med 1966; 274: 199206.CrossRefGoogle ScholarPubMed
3.Johnson, DH, Rosenthal, A, Nadas, AS. A forty year review of bacterial endocarditis in infancy and childhood. Ciculation 1975; 51: 581588.CrossRefGoogle ScholarPubMed
4.Bickford, BJ. Surgical aspects of patent ductus arteriosus. Arch Dis Child 1960; 35: 9296.CrossRefGoogle ScholarPubMed
5.Jones, JC. Twenty-five years’ experience with surgery of patent ductus arteriosus. J Thorac Cardiovasc Surg 1965; 50: 149156.CrossRefGoogle ScholarPubMed
6.Panagopoulos, HG, Tatooles, CJ, Aberdeen, E, Waterston, DJ, Bonham-Carter, RE. Patent ductus arteriosus in infants and children. Thorax 1971; 26: 137144.CrossRefGoogle ScholarPubMed
7.McGrath, RL, McGuinness, GA, Way, GL, Wolfe, RR, Nora, JJ, Simmons, MA. The silent ductus arteriosus. J Pediatr 1978; 93: 110–1 13.CrossRefGoogle ScholarPubMed
8.Houston, AB, Gnanapragasam, JP, Lim, MK, Doig, WB, Coleman, EN. Doppler ultrasound and the silent ductus arteriosus. Br Heart J 1991; 65: 9799.CrossRefGoogle ScholarPubMed
9.Svensson, SE, Valdes-Cruz, LM, Sahn, DJ, Sherman, FS, Chung, KJ, Scagnelli, S, Hagen-Arisert, S. Real-time Doppler color-flow mapping for detection of patent ductus arteriosus. J Am CoIl Cardiol 1986; 8: 11051112.CrossRefGoogle Scholar
10.Pui-Kan, L, Wen-Jen, S., Sui-Sung, H. Doppler echocardio graphic flow characteristics of isolated ductus arteriosus: Bet ter delineation by color flow mapping. J Am Coil Cardiol 1988; 12: 12851291.Google Scholar
11.Sahn, DJ, Allen, HD. Real-time cross-sectional echocardio graphic imaging and measurement of the patent ducrus arte riosus in infants and children. Circulation 1978; 58: 343354.CrossRefGoogle Scholar
12.Smallhorn, JF, Huhta, JC, Anderson, RH, Macartney, FJ. Suprasternal cross sectional echocardiography in assessment of patent ductus arteriosus. Br Heart J 1982; 48: 321330.CrossRefGoogle Scholar
13.Musewe, NN, Alexander, DJ, Teshima, I, Smalihorn, JF, Freedom, RM. Echocardiographic and color flow Doppler evalua tion of ductal occlusion with the Rashkind prosthesis. Circu lation 1989; 80: 17061710.CrossRefGoogle Scholar
14.Sorenson, KE, Kristensen, B, Hansen, OK. Frequency ofoccur rence of residual ductal flow after surgical ligation by color-flow mapping. Am J Cardiol 1991; 67: 653654.CrossRefGoogle Scholar
15.Dyck, JD, Benson, LN, Smallhorn, JF, McLaulin, PR, Freedom, RM, Rowe, RD. Catheter occlusion of the persistently patent ductus arteriosus. Am J Cardiol 1988; 62: 10891092.CrossRefGoogle ScholarPubMed
16.MiKhan, MA, Mullins, CE, Nihill, MR, Yousef, SA, Oufy, SA, Abdullah, M, Al Fagih, MR, Sawyer, W. Percutaneous catheter closure of the ductus arteriosus in children and young adults. Am J Cardiol 1989; 64: 218221.Google Scholar
17.Latson, LA, Hofscchire, PJ, Kugler, JD, Cheatham, JP, Gumbiner, CH, Danford, DA. Transcatheter closure of patent ductus arteriosus in paediatrics. J Pediatr 1989; 115: 549553.CrossRefGoogle Scholar
18.Hosking, CK, Benson, LN, Musewe, N, Dyke, JD, Freedom, RM. Transcatheter occlusion of the persistently patent ductus arteriosus: forty-month follow-up and prevalence of residual shunting. Circulation 1991; 84: 23132317.CrossRefGoogle ScholarPubMed