Patent Ductus Arteriosus


Repair of this anomaly is usually performed through a left fourth interspace thoracotomy. In rare cases, when the ductus is located in the right chest, a right fourth interspace incision is used. Division of the isolated ductus rather than ligation is used, except in premature infants or before cardiopulmonary bypass when working through a median sternotomy. Division is safer and should avoid ductal fracture or incomplete closure, which are risks of ligation.


Cardiopulmonary Bypass Recurrent Laryngeal Nerve Subclavian Artery Patent Ductus Arteriosus Median Sternotomy 


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© Springer Science+Business Media, LLC 2007

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