%0 Journal Article
%T Surgical Closure of Isolated Patent Ductus Arteriosus in Cenhosoa Antananarivo
%A Zakarimanana Lucas Randimbinirina
%A Harijaona Fanomezantsoa Randrianandrianina
%A Tsirimalala Rajaobelison
%A Rija Mikha£¿l Miandrisoa
%A Hariniaina Ravaoavy
%A Toky Mamin¡¯ny Aina Rajaonanahary
%A Andriamihaja Jean-Claude Rakotoarisoa
%J World Journal of Cardiovascular Surgery
%P 111-119
%@ 2164-3210
%D 2023
%I Scientific Research Publishing
%R 10.4236/wjcs.2023.137011
%X <b><span style=\"font-family:Verdana;\">Introduction:</span></b><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> Patent ductus arteriosus (PDA) is a congenital heart disease </span><span style=\"font-family:Verdana;\">whose seriousness lies in the risk of pulmonary
hypertension, congestive</span> <span style=\"font-family:Verdana;\">heart </span><span style=\"font-family:Verdana;\">failure
and death. The aim of this study was to describe the surgical closure of</span><span> </span><span style=\"font-family:Verdana;\">an isolated patent ductus arteriosus (PDA)
performed in Soavinandriana Teaching Hospital. </span><b><span style=\"font-family:Verdana;\">Methods:</span></b><span style=\"font-family:Verdana;\"> This was a
retrospective and descriptive study, during thirteen-years-period (January 2004
to December 2016), performed at </span><span style=\"font-family:Verdana;\">Cardiac
surgery unit of Soavinandriana Teaching Hospital, including all children</span><span style=\"font-family:Verdana;\"> underwent surgical closures of an isolated PDA. Demographic data, birth weight,
clinical signs, diagnostic imaging, time between diagnosis and surgery and
hospital left stays were analyzed. </span><b><span style=\"font-family:Verdana;\">Results:</span></b><span style=\"font-family:Verdana;\"> A total of eighty-six </span><span style=\"font-family:Verdana;\">children were recorded, including 21 males
(24.42%) </span></span><span style=\"font-family:Verdana;\">and</span><span style=\"font-family:Verdana;\"> 65 females (75.58%),</span><span style=\"font-family:Verdana;\"> giving
sex ratio of 30%. The average age was 33.91 months. Children w</span><span style=\"font-family:Verdana;\">ere</span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> born with a low birth
weight in 12.79% of cases. PDA was symptomatic in 81.39%. The </span><span style=\"font-family:Verdana;\">most circumstances of discovery were recurrent
lung infections (31.40%), dyspnea</span><span style=\"font-family:Verdana;\"> (24.41%) and failure to thrive
(19.76%). Echocardiography </span><span style=\"font-family:Verdana;\">showed left
ventricular dilatation (63.95%), pulmonary hypertension (73.25%)</span><span style=\"font-family:Verdana;\">. The
ductus was large in 97.67% and the mean diameter was 5 mm. Chest X-ray </span><span style=\"font-family:Verdana;\">showed cardiomegaly (97.67%) and increased
pulmonary vascularity (86.04%). Mean delay of surgical procedures after
diagnosis was 15.16 months.</span><span style=\"font-family:Verdana;\"> Surgical
%K Echocardiography
%K Patent Ductus Arteriosus
%K Pediatrics
%K Surgery
%K Thoracotomy
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=126197