A critical review on the surgical treatment of 153 cases of adult patent ductus arteriosus within 1964-2000

摘要

Conclusion Ligation of PDA is still a safe, simple and efficient method, while CPB is suitable for patients with certain special types of PDA or/and other deformities of the heart. Per- haps the advent of interventional therapy would offer a safer simpler method of choice in the treat- ment of PDA. Objective This paper evaluates the experiences of treatment of adult patent ductus Arteriosus(PDA)in Nanjing Medical University in recent 36 years. Methods From October 1964 To December 2000, 153 adult PDA patients in our hospital were operated by means of ligation of PDA (105), ductal division(24), intra-aortic suture with left heart bypass(11), cardiopulmonary by- pass(CPB)without heart beating(7), and the duct occlusion with cardiac catheterization(6).