caa a22 4500 445825308 CHVBK 20180317145257.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00246-011-0050-5 doi (NATIONALLICENCE)springer-10.1007/s00246-011-0050-5 Results From Extrapleural Clipping of a Patent Ductus Arteriosus in Seriously Ill Preterm Infants [Elektronische Daten] [Orhan Demirturk, Murat Güvener, Isa Coşkun, Hüseyin Tünel] Minithoracotomy for extrapleural closure of the patent ductus arteriosus (PDA) in seriously ill patients offers a fast and less invasive alternative to conventional transpleural ductal closure. This study reports the immediate postoperative clinical outcomes for 24 extrapleurally clipped premature infants presenting with congestive heart failure in high-risk comorbidity status between March 2007 and November 2010. The demographics, preoperative clinical characteristics, and postoperative outcomes of the patients, including echocardiographic assessments, were evaluated. No surgery-related mortalities occurred. Four mortalities occurred after surgery due to sepsis and bleeding diathesis. All 20 surviving patients exhibited normal left ventricular dimensions and systolic function in the immediate follow-up period. The study shows that extrapleural clip closure in seriously ill premature infants has an acceptable overall short-term mortality and complication rate with a high rate of ductal closure. Springer Science+Business Media, LLC, 2011 Extrapleural surgical clipping of ductus nationallicence Patent ductus arteriosus nationallicence Premature (preterm) infant nationallicence Demirturk Orhan Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut Güvener Murat Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut Coşkun Isa Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut Tünel Hüseyin Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut Pediatric Cardiology Springer-Verlag 32/8(2011-12-01), 1164-1167 0172-0643 32:8<1164 2011 32 246 https://doi.org/10.1007/s00246-011-0050-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-0050-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Demirturk Orhan Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut NATIONALLICENCE 700 1- Güvener Murat Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut NATIONALLICENCE 700 1- Coşkun Isa Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut NATIONALLICENCE 700 1- Tünel Hüseyin Department of Cardiovascular Surgery, Baskent University Adana Medical Center, Adana, Turkey aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/8(2011-12-01), 1164-1167 0172-0643 32:8<1164 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer