Erste Erfahrungen mit dem thorakoskopischen Klipverschluß des persistierenden Ductus ateriosus Botalli (PDA) beim Frühgeborenen
Preliminary Results of Thoracoscopic Clipping of Patent Ductus Arteriosus in Premature Infants
Therapy of patent ductus arteriosus (PDA) is an important component of neonatal intensive care medicine. After its development in an animal trial in 1992 the technique of thoracoscopic clipping of the PDA was introduced clinically in a prospective protocol. As of September 1993 interruption of PDA was indicated in five preterm infants (body weight 750–1200 g). Only in one case was conversion to open operation indispensable. PDA could be interrupted completely in all cases, and there were no complications. Compared to thoracotomy the skin incision is smaller, M. latissimus dorsi and M. serratus anterior are not transsected, and spreading of the ribs is avoided. Thoracoscopic clipping of PDA is technically feasable and trauma to the thorax wall is reduced. Further clinical application according to the prospective protocol seems to be justified.