A Case of Video-Assisted Thoracoscopic Surgery for Clipping the Patent Ductus Arteriosus in a Child

(Department of Cardiovascular Surgery, Cardiovascular Center Sakakibara Hospital, Okayama, Japan)

Mitsuaki Matsumoto Takato Hata Kohki Nakamura
Yoshimasa Tsushima Sohei Hamanaka Hidenori Yoshitaka
Susumu Shinoura Hitoshi Minami Satoru Otani
We performed a video-assisted thoracoscopic surgery (VATS) to clip the patent ductus arteriosus (PDA), which was 5 mm in internal diameter, in an 11-year-old girl, who first underwent a coil embolization ending in failure. Under general anesthesia with one-lung ventilation in a right lateral decubitus position, four thoracostomies were made in the left hemithorax. The PDA was clipped by two titanium clips, the length of which is 11 mm at closing. Transesophageal echocardiography confirmed the location of the PDA and the absence of a residual shunt. The patient showed neither left recurrent laryngeal nerve dysfunction nor hemorrhage after operation, and was discharged on the 9th postoperative day. The clipping of the PDA by VATS can be applied for PDA without calcification if the external diameter is up to 7 mm. This technique was minimally invasive and reliable. It was excellent in terms of the high quality of life achieved by the patient.
@Jpn. J. Cardiovasc. Surg. 29: 49-52 (2000)