Document Detail

Neonatal ductus arteriosus aneurysm causing nerve palsies and airway compression: surgical treatment by decompression without excision.
MedLine Citation:
PMID:  9986898     Owner:  NLM     Status:  MEDLINE    
A 4-kg male child, born at 34 weeks to a gestational diabetic mother, had a large ductus arteriosus aneurysm causing phrenic and recurrent laryngeal nerve palsies and large airway compression. The right and left atrial appendages and distal descending aorta were cannulated, allowing left heart partial or complete cardiopulmonary bypass as necessary. On bypass the ductus was ligated, decompressed, and oversewn but not excised. Examination 1 month later suggested resolution of the recurrent laryngeal palsy and echocardiography showed regression of the aneurysm. Ductus ligation and decompression was an effective surgical treatment, which is less likely to cause complications than resection.
T S Hornung; I A Nicholson; G R Nunn; R E Hawker
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  20     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    1999 Mar-Apr
Date Detail:
Created Date:  1999-04-07     Completed Date:  1999-04-07     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  158-60     Citation Subset:  IM    
Adolph Basser Cardiac Institute, Royal Alexandra Hospital for Children, Sydney, Australia 2145.
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MeSH Terms
Airway Obstruction / congenital*,  diagnosis,  surgery
Aneurysm / congenital*,  diagnosis
Decompression, Surgical*
Diagnosis, Differential
Ductus Arteriosus / abnormalities*,  surgery
Infant, Newborn
Nerve Compression Syndromes / congenital*,  diagnosis,  surgery
Phrenic Nerve
Recurrent Laryngeal Nerve
Vocal Cord Paralysis / congenital,  diagnosis,  surgery

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