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SURGICAL TREATMENT OF THE PATENT DUCTUS ARTERIOSUS: Report of Five Cases

SURGICAL TREATMENT OF THE PATENT DUCTUS ARTERIOSUS: Report of Five Cases Abstract SINCE 1907, the possibility of operation in the treatment of the patent ductus arteriosus has been recognized. Graybiel, Strieder and Boyer1 made the first surgical attempt at closure of the ductus. The condition was complicated by the presence of bacterial endarteritis. The unsuccessful outcome was due to fatal hemorrhage at the operating table. Since this first attempt Gross2 has ligated or divided the ductus in 133 patients with only five fatalities. In reviewing the literature on this subject, one is impressed by the rapid advancement made in the accuracy of diagnosis and the perfection of the surgical technic. The early criteria for operation, namely, absence of infection, absence of embolic phenomena and sterile cultures of the blood no longer need be followed. The surgical treatment encompasses more and more the group of patients previously denied operation because of the presence of infection superimposed on the patent ductus. The References 1. Graybiel, A.; Strieder, J. W., and Boyer, N. H.: An Attempt to Obliterate the Patent Ductus Arteriosus in a Patient with Subacute Bacterial Endarteritis , Am. Heart J. 15:621, 1938.Crossref 2. Gross, R. E.: Paper read at the Meeting of the American Association for Thoracic Surgery, Detroit, May 1946. 3. Burch, G. E.: Congenital Patent Ductus Arteriosus: An Evaluation of its Surgical Treatment , M. Clin. North America 28:388, 1944. 4. Shapiro, M. J., and Keys, A.: The Prognosis of Untreated Patent Ductus Arteriosus and the Results of Surgical Intervention: A Clinical Series of Fifty Cases and Analysis of One Hundred and Thirty-Nine Operations , Am. J. M. Sc. 206:174, 1943.Crossref 5. Bullock, L. F.; Jones, J. E., and Dolley, F. S.: The Diagnosis and the Effects of Ligation of the Patent Ductus Arteriosus , J. Pediat. 15:786, 1939.Crossref 6. Gross, R. E.: Surgical Closure of the Patent Ductus Arteriosus , J. Pediat. 17:716, 1940.Crossref 7. Gross, R. E.: Complete Surgical Division of the Patent Ductus Arteriosus; A Report of Fourteen Successful Cases , Surg., Gynec. & Obst. 78:36, 1943. 8. Touroff, A. S. W.: The Results of Surgical Treatment of Patency of the Ductus Arteriosus Complicated by Subacute Bacterial Endarteritis , Am. Heart J. 25:187, 1943. 9. Harrington, S. W.: Patent Ductus Arteriosus with Bacterial Endarteritis: Transpleural Ligation Through Posterolateral Approach: Report of a Case , Proc. Staff Meet., Mayo Clin. 18:217, 1943. 10. Touroff, A. S. W.: Further Experiences in the Surgical Treatment of Subacute Streptococcus Viridans Endarteritis Superimposed on Patent Ductus Arteriosus , J. Thoracic Surg. 12:1, 1942. 11. Nixon, J. N.: Surgical Closure of the Patent Ductus Arteriosus , Texas State J. Med. 40:473, 1945. 12. Blalock, A.: Operative Closure of the Patent Arteriosus , Surg., Gynec. & Obst. 82:113, 1946. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

SURGICAL TREATMENT OF THE PATENT DUCTUS ARTERIOSUS: Report of Five Cases

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1946.01230060499001
Publisher site
See Article on Publisher Site

Abstract

Abstract SINCE 1907, the possibility of operation in the treatment of the patent ductus arteriosus has been recognized. Graybiel, Strieder and Boyer1 made the first surgical attempt at closure of the ductus. The condition was complicated by the presence of bacterial endarteritis. The unsuccessful outcome was due to fatal hemorrhage at the operating table. Since this first attempt Gross2 has ligated or divided the ductus in 133 patients with only five fatalities. In reviewing the literature on this subject, one is impressed by the rapid advancement made in the accuracy of diagnosis and the perfection of the surgical technic. The early criteria for operation, namely, absence of infection, absence of embolic phenomena and sterile cultures of the blood no longer need be followed. The surgical treatment encompasses more and more the group of patients previously denied operation because of the presence of infection superimposed on the patent ductus. The References 1. Graybiel, A.; Strieder, J. W., and Boyer, N. H.: An Attempt to Obliterate the Patent Ductus Arteriosus in a Patient with Subacute Bacterial Endarteritis , Am. Heart J. 15:621, 1938.Crossref 2. Gross, R. E.: Paper read at the Meeting of the American Association for Thoracic Surgery, Detroit, May 1946. 3. Burch, G. E.: Congenital Patent Ductus Arteriosus: An Evaluation of its Surgical Treatment , M. Clin. North America 28:388, 1944. 4. Shapiro, M. J., and Keys, A.: The Prognosis of Untreated Patent Ductus Arteriosus and the Results of Surgical Intervention: A Clinical Series of Fifty Cases and Analysis of One Hundred and Thirty-Nine Operations , Am. J. M. Sc. 206:174, 1943.Crossref 5. Bullock, L. F.; Jones, J. E., and Dolley, F. S.: The Diagnosis and the Effects of Ligation of the Patent Ductus Arteriosus , J. Pediat. 15:786, 1939.Crossref 6. Gross, R. E.: Surgical Closure of the Patent Ductus Arteriosus , J. Pediat. 17:716, 1940.Crossref 7. Gross, R. E.: Complete Surgical Division of the Patent Ductus Arteriosus; A Report of Fourteen Successful Cases , Surg., Gynec. & Obst. 78:36, 1943. 8. Touroff, A. S. W.: The Results of Surgical Treatment of Patency of the Ductus Arteriosus Complicated by Subacute Bacterial Endarteritis , Am. Heart J. 25:187, 1943. 9. Harrington, S. W.: Patent Ductus Arteriosus with Bacterial Endarteritis: Transpleural Ligation Through Posterolateral Approach: Report of a Case , Proc. Staff Meet., Mayo Clin. 18:217, 1943. 10. Touroff, A. S. W.: Further Experiences in the Surgical Treatment of Subacute Streptococcus Viridans Endarteritis Superimposed on Patent Ductus Arteriosus , J. Thoracic Surg. 12:1, 1942. 11. Nixon, J. N.: Surgical Closure of the Patent Ductus Arteriosus , Texas State J. Med. 40:473, 1945. 12. Blalock, A.: Operative Closure of the Patent Arteriosus , Surg., Gynec. & Obst. 82:113, 1946.

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1946

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