Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings

Background: Patent ductus arteriosus (PDA) is quite a common acyanotic congenital heart disease (CHD). Its ligation in Sub-Saharan Africa is challenging due to lack of adequate cardiothoracic surgeons. We, therefore, present our experience and our challenges in our center with limited resources. Obj...

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Autores principales:	Ismail Inuwa Mohammed, Jameel Ismail Ahmad, Tunde Oyebanji Nurein, Naseer Ahmad Ishaq, Ibrahim Aliyu
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	complications ductal ligation left lateral thoracotomy outcome patent ductus arteriosus sub-saharan africa Medicine R
Acceso en línea:	https://doaj.org/article/ec85358fefb9459eba2f3729eed74c86
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spelling	oai:doaj.org-article:ec85358fefb9459eba2f3729eed74c862021-11-12T11:14:59ZManagement of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings2321-668910.4103/smj.smj_66_20https://doaj.org/article/ec85358fefb9459eba2f3729eed74c862021-01-01T00:00:00Zhttp://www.smjonline.org/article.asp?issn=1118-8561;year=2021;volume=24;issue=3;spage=129;epage=133;aulast=Mohammedhttps://doaj.org/toc/2321-6689Background: Patent ductus arteriosus (PDA) is quite a common acyanotic congenital heart disease (CHD). Its ligation in Sub-Saharan Africa is challenging due to lack of adequate cardiothoracic surgeons. We, therefore, present our experience and our challenges in our center with limited resources. Objectives: To determine the challenges and outcome of surgical ligation of PDA in our center. Methods: This was a retrospective review of all PDA ligations done from January 2012 to December 2017. Data were extracted from the operation theater register and patients files. Information such as age, sex, symptoms at presentation, intraoperative findings, and outcome of surgery were analyzed. Discordances between echocardiography and intraoperative finding of PDA were noticed in only two cases, and these were excluded from the study because PDA was not seen intraoperatively and they were referred for further evaluation. Statistical Package for the Social Sciences version 16 was used for data entry and analysis. Results: Twenty-five patients had PDA ligation during the study period; the subjects comprised 17 females and 8 males with a male-to-female ratio of 1:2. Two adult cases were recorded. Three cases had other associated CHD. All surgeries were carried out successfully and only a single case of complication was reported (4%, chylothorax). Conclusion: PDA ligation is relatively safe if properly done with successful outcome.Ismail Inuwa MohammedJameel Ismail AhmadTunde Oyebanji NureinNaseer Ahmad IshaqIbrahim AliyuWolters Kluwer Medknow Publicationsarticlecomplicationsductal ligationleft lateral thoracotomyoutcomepatent ductus arteriosussub-saharan africaMedicineRENSahel Medical Journal, Vol 24, Iss 3, Pp 129-133 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	complications ductal ligation left lateral thoracotomy outcome patent ductus arteriosus sub-saharan africa Medicine R
spellingShingle	complications ductal ligation left lateral thoracotomy outcome patent ductus arteriosus sub-saharan africa Medicine R Ismail Inuwa Mohammed Jameel Ismail Ahmad Tunde Oyebanji Nurein Naseer Ahmad Ishaq Ibrahim Aliyu Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings
description	Background: Patent ductus arteriosus (PDA) is quite a common acyanotic congenital heart disease (CHD). Its ligation in Sub-Saharan Africa is challenging due to lack of adequate cardiothoracic surgeons. We, therefore, present our experience and our challenges in our center with limited resources. Objectives: To determine the challenges and outcome of surgical ligation of PDA in our center. Methods: This was a retrospective review of all PDA ligations done from January 2012 to December 2017. Data were extracted from the operation theater register and patients files. Information such as age, sex, symptoms at presentation, intraoperative findings, and outcome of surgery were analyzed. Discordances between echocardiography and intraoperative finding of PDA were noticed in only two cases, and these were excluded from the study because PDA was not seen intraoperatively and they were referred for further evaluation. Statistical Package for the Social Sciences version 16 was used for data entry and analysis. Results: Twenty-five patients had PDA ligation during the study period; the subjects comprised 17 females and 8 males with a male-to-female ratio of 1:2. Two adult cases were recorded. Three cases had other associated CHD. All surgeries were carried out successfully and only a single case of complication was reported (4%, chylothorax). Conclusion: PDA ligation is relatively safe if properly done with successful outcome.
format	article
author	Ismail Inuwa Mohammed Jameel Ismail Ahmad Tunde Oyebanji Nurein Naseer Ahmad Ishaq Ibrahim Aliyu
author_facet	Ismail Inuwa Mohammed Jameel Ismail Ahmad Tunde Oyebanji Nurein Naseer Ahmad Ishaq Ibrahim Aliyu
author_sort	Ismail Inuwa Mohammed
title	Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings
title_short	Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings
title_full	Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings
title_fullStr	Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings
title_full_unstemmed	Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings
title_sort	management of patients with patent ductus arteriosus: challenges and outcome in low-resource settings
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/ec85358fefb9459eba2f3729eed74c86
work_keys_str_mv	AT ismailinuwamohammed managementofpatientswithpatentductusarteriosuschallengesandoutcomeinlowresourcesettings AT jameelismailahmad managementofpatientswithpatentductusarteriosuschallengesandoutcomeinlowresourcesettings AT tundeoyebanjinurein managementofpatientswithpatentductusarteriosuschallengesandoutcomeinlowresourcesettings AT naseerahmadishaq managementofpatientswithpatentductusarteriosuschallengesandoutcomeinlowresourcesettings AT ibrahimaliyu managementofpatientswithpatentductusarteriosuschallengesandoutcomeinlowresourcesettings
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Management of patients with patent ductus arteriosus: Challenges and outcome in low-resource settings

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