Unintended Pulmonary Artery Ligation during PDA Ligation

Authors

  • Dohun Kim Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungbuk National University, Cheongju
  • Si-Wook Kim Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungbuk National University, Cheongju
  • Hong-Ju Shin Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungbuk National University, Cheongju
  • Jong-Myeon Hong Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chungbuk National University, Cheongju
  • Ji Hyuk Lee Department of Pediatrics, College of Medicine, Chungbuk National University, Cheongju
  • Heon-Seok Han Department of Pediatrics, College of Medicine, Chungbuk National University, Cheongju

DOI:

https://doi.org/10.1532/hsf.1449

Abstract

A 10-day-old boy was transferred to our hospital due to tachypnea. Patent ductus arteriosus (PDA), 4.8 mm in diameter, with small ASD was diagnosed on echocardiography. Surgical ligation of the ductus was performed after failure of three cycles of ibuprofen. However, the ductus remained open on routine postoperative echocardiography on the second postoperative day, and chest CT revealed inadvertent ligation of the left pulmonary artery (LPA) rather than the PDA. Emergent operation successfully reopened the clipped LPA and ligated the ductus on the same (second postoperative) day.
Mechanical ventilator support was weaned on postoperative day 21, and the baby was discharged on postoperative day 47 with a normal left lung shadow.

References

Fleming WH, Sarafian LB, Kugler JD, Nelson RM, Jr. 1983. Ligation of patent ductus arteriosus in premature infants: importance of accurate anatomic definition. Pediatrics ;71:373-5.

Jaffe RB, Orsmond GS, Veasy LG. 1986. Inadvertent ligation of the left pulmonary artery. Radiology ;161:355-7.

Lam JY, Lopushinsky S, Ma I, Dicke F, Brindle M. 2015. Treatment options for the pediatric patent ductus arteriosus: systematic review and meta-analysis. Chest 148:784-93.

Orzel JA, Monaco MP. 1986. Inadvertent ligation of the left pulmonary artery instead of patent ductus arteriosus. Noninvasive diagnosis by pulmonary perfusion imaging. Clin Nucl Med 11:629-31.

Published

2016-08-23

How to Cite

Kim, D., Kim, S.-W., Shin, H.-J., Hong, J.-M., Lee, J. H., & Han, H.-S. (2016). Unintended Pulmonary Artery Ligation during PDA Ligation. The Heart Surgery Forum, 19(4), E187-E188. https://doi.org/10.1532/hsf.1449

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