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Ligation of left pulmonary artery instead of patent ductus arteriosus

Published online by Cambridge University Press:  09 September 2020

Semih Murat Yucel*
Affiliation:
Department of Cardiovascular Surgery, Ondokuz Mayıs University, Samsun, Turkey
Irfan Oguz Sahin
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Ondokuz Mayıs University, Samsun, Turkey
*
Author for correspondence: Semih Murat Yucel, Department of Cardiovascular Surgery, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey. Tel: +90 362 319 19 19/+90 532 052 11 51; Fax: +903624576041. E-mail: semihmuratyucel@gmail.com

Abstract

Ductus arteriosus is an essential component of fetal circulation. Due to occurring changes in the cardiopulmonary system physiology after birth, ductus arteriosus closes. Patent ductus arteriosus can be closed by medical or invasive (percutaneous or surgical) treatment methods. Percutaneous or surgical closure of patent ductus arteriosus can be performed for the cases that medical closure failed. Surgical treatment is often preferred method for closure of patent ductus arteriosus in the neonatal period. The most common surgical complications are pneumothorax, recurrent laryngeal nerve injury, bleeding, and recanalisation. A very rare surgical complication is left pulmonary artery ligation that has been presented in a few cases in the literature. Echocardiography control should be performed in the early post-operative period, especially in patients with clinical suspicion. If reoperation is required, it should never be delayed. We report a newborn patient whose left pulmonary artery ligated accidentally during patent ductus arteriosus closure surgery and surgical correction of this complication at the early post-operative period.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Köksal, N, Aygün, C, Uras, N. Turkish neonatal society guideline on the management of patent ductus arteriosus in preterm infants. Turk Pediatri Ars 2018; 53 (Suppl 1): S76S87.CrossRefGoogle ScholarPubMed
Russell, JL, Leblanc, JG, Potts, JE, et al.Is surgical closure of patent ductus arteriosus a safe procedure in premature infants?Int Surg 1998; 83: 358360.Google ScholarPubMed
İrdem, A, Kervancıoğlu, M, Başpınar, O, et al. Transcatheter closure of patent ductus arteriosus and ductus in children. Gaziantep Med J 2012; 18: 132138.10.5455/GMJ-30-2012-102CrossRefGoogle Scholar
Bardanzellu, F, Neroni, P, Dessì, A, et al. Paracetamol in patent ductus arteriosus treatment: efficacious and safe? Biomed Res Int 2017; 2017: 1438038.10.1155/2017/1438038CrossRefGoogle ScholarPubMed
Panagopoulos, PHG, Tatooles, CJ, Aberdeen, E, et al. Patent ductus arteriosus in infants and children: a review of 936 operations (1946–69). Thorax 1971; 26: 137144.10.1136/thx.26.2.137CrossRefGoogle Scholar
Kim, D, Kim, SW, Shin, HJ, et al. Unintended pulmonary artery ligation during PDA ligation. Heart Surg Forum 2016; 19: E187E188.10.1532/hsf.1449CrossRefGoogle ScholarPubMed
Orzel, JA, Monaco, MP. Inadvertent ligation of the left pulmonary artery instead of patent ductus arteriosus: noninvasive diagnosis by pulmonary perfusion imaging. Clin Nucl Med 1986; 11: 629631.10.1097/00003072-198609000-00007CrossRefGoogle ScholarPubMed
Pontius, RG, Danielson, GK, Noonan, JA, et al. Illusions leading to surgical closure of the distal left pulmonary artery instead of the ductus arteriosus. J Thorac Cardiovasc Surg 1981; 82: 107113.10.1016/S0022-5223(19)39396-1CrossRefGoogle ScholarPubMed
Tefera, E, Bermudez-Cañete, R, van Doorn, C Inadvertent ligation of the left pulmonary artery during intended ductal ligation. BMC Res Notes 2015; 8: 511.10.1186/s13104-015-1467-3CrossRefGoogle ScholarPubMed
Terlemez, S, Işık, O, Şahin, S, et al. A rare complication of patent Ductus arteriosus ligation: inadvertent ligation of the left pulmonary artery. Heart Surg Forum 2017; 20: E266E268.CrossRefGoogle ScholarPubMed