Surgical closure of patent ductus arteriosus in pre-term babies.

OBJECTIVES

To present by illustration the surgical options in neonatal PDA closure with emphasis on clip application.

METHODS

Photo/video-documentation of surgical closure of PDA in a neonate by clip application coupled with free-hand drawings showing PDA closure by ligation and division. Review of 38 neonates undergoing surgical PDA closure in our institution between 1998 and 2006.

RESULTS

Overall survival following surgery was 100%. There was one case of residual PDA and three postoperative complications - 2 cases of pneumothorax and one chylothorax.

CONCLUSION

The outcome of surgical closure of PDA in neonates is very good with zero mortality in our series and only few postoperative complications.