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Surgery for patent ductus arteriosus. Still the gold standard

P S Ramphal1, R Irvine, H W Spencer

  • 1Department of Surgery, Radiology, Anaesthesia and Intensive Care, University of the West Indies, Kingston 7, Jamaica.

The West Indian Medical Journal
|February 24, 2001
PubMed

Insights

Surgical treatment for Patent Ductus Arteriosus (PDA) at a Jamaican hospital yielded excellent long-term results. Standard surgical methods remain effective, showing minimal mortality and morbidity compared to other published series.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology

Background:

  • Patent Ductus Arteriosus (PDA) is a common congenital heart defect.
  • Surgical intervention has been a primary treatment modality for PDA.

Purpose of the Study:

  • To evaluate the outcomes of surgical PDA treatment at the University Hospital of the West Indies.
  • To compare local surgical results with international data.
  • To assess the current management strategy for PDA.

Main Methods:

  • Retrospective review of surgical PDA cases over an eight-year period.
  • Analysis of standard surgical treatment modalities.
  • Literature review of PDA treatment options.

Main Results:

  • Surgical outcomes were comparable to large published series.
  • Minimal mortality and morbidity were observed.
  • Excellent long-term results were achieved.

Conclusions:

  • Standard surgical treatment for PDA at this center provides excellent long-term results.
  • Current literature does not support a shift towards non-surgical methods for PDA management.
  • Surgical intervention remains a safe and effective treatment for PDA.

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