Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1377
8
1
gregorian
1998
11
1
12
3
online
1
fulltext
en
PATEN T DU CTUS ART ERIOSUS: SURGICAL COMPLICATIONS, MORBIDITY AND MORTALITY IN 510 PATIENTS
Pediatric
Pediatric
Original Research
Original Research
In this retrospective study, 510 infants and children with patent ductus arteriosus
(PDA) who underwent surgery at the Shahid Rajai Heart Hospital in Tehran were
evaluated to determine the rate of surgical complications, morbidity and mortality.
30 patients (6%) developed minor to major complications postoperatively. Four
patients who had undergone PDA ligation without division required reoperation due
to recanalization of the ductus. In one patient, the left pulmonary artery was
mistakenly ligated instead of the ductus, requiring reoperation and correction. There
were two mortalities (0.4%), both in patients with pulmonary hypertension. Four
patients (0.8%) developed bacterial endocarditis with positive blood cultures.
The frequency of complications in our group of patients is in accordance with that
of the literature. We conclude that patent ductus arteriosus, when diagnosed and
treated early, can yield excellent results with very little complications. Delay in
diagnosis and treatment, especially when associated lesions coexist, significantly
increases the rate of complications, morbidity and mortality.
Ductus arteriosus, patent; surgical complications; morbidity; mortality.
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215
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-447&slc_lang=en&sid=1
M. YOUSEF
AARABI MOGHADDAM
20031947532846004754
20031947532846004754
Yes
From the Department of Pediatric Cardiology, Shahid Rajai Heart Hospital, Iran University of Medical Sciences, Tehran
M. HASAN
KALANTAR MOTAMEDI
20031947532846004755
20031947532846004755
No
the Departmeni of Cardiovascular Surgery, Jamaran Heart Hospital, Baqiat. University of Medical Sciences, Tehran, Islamic Republic of Iran.