Left Sub-axilla Mini-incision Surgical Ligation Of Patent Ductus Arteriosus

[Objective] To evaluate the value of left sub-axilla mini-incision surgical treatment of patent ductus arteriosus(PDA). [Methods] Left vertical mini-incision along midaxillary line,opended thoracic cavity through the third intercostal space,incited mediastinal pleura ,detached PDA,then go three silks around the PDA and ligation one by one to close the ductus.[Results] The methods were used in 45 cases continuously,no death directly related to the surgical procedure,no recanarization was found.one ductus disruption during operating was closed successfully.one ductus combined with coarctation was successfully corrected.complication includedrleft inferior pulmonary atelectasis,left pleural effusion,lease respectively.[Conclusion] The injury derived from the methods was limited,and recover quickly postopration,and good cosmetic effect.the methods are suitable to childrensN adults ^ combined with pulmonary hypertentio^ combined with other malformation in aortic arch or descending aorta.