The use of Yaşargil neurovascular mini-clips for patent ductus arteriosus closure in premature infants

Ersin Erek,

doi:10.5606/tgkdc.dergisi.2011.114

Ersin Erek¹, Yusuf Kenan Yalçınbaş², Yasemin Türkekul³, Ayşe Ulukol³, Arda Saygılı³, Cafer Tayyar Sarıoğlu²

¹Department of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul
²Department of Cardiovascular Surgery, Medicine Faculty of Acıbadem University, Acıbadem Bakırköy Hospital, İstanbul
³Department of Cardiovascular Surgery, Acıbadem Bakırköy Hospital, İstanbul

DOI : 10.5606/tgkdc.dergisi.2011.114

Patency of ductus arteriosus (PDA) in preterm infants impairs the normal development and convalescence of the infant. Although prostaglandin inhibitors provide a conventional pharmacologic treatment with good results, some patients need surgical PDA closure. Surgical PDA closure in preterm infants necessitates special care due to the high fragility of PDA tissue. Conventional clips or ligation techniques might be traumatic and cause tearing and excessive bleeding which may be difficult to control. In this study, we report an alternative method for PDA closure in preterm infants using Yaşargil neurovascular miniclips, which have been used for years in neurosurgery due to their atraumatic properties.

Keywords : Congenital heart disease; ductus arteriosus; infant; neonate; premature

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