DOI: 10.21276/sasjs.2017.3.11.3

Pages: 283-285

Reporting results of surgical treatment of the patent ductus arteriosus in Senegal. It’s a retrospective study from December 2004 to November 2014, we reported 73 patients operated for patent ductus arteriosus (PDA). Mean age was 45 months (1-126). The sex ratio was 59%. The main reason for admission was repetitive bronchitis (63%; 46 patients). The left subclavian systolic and diastolic murmur was found in 69 patients (94%). The average cardiothoracic index was 64% (45-90%). Echocardiography showed a dilated left cardiac chambers. The mean diameter of the ductus was 6 mm (3-14 mm). Surgery consisted of a triple ligation among 3 patients (4%), suture followed by ligation among 33 patients (45%), and ligation with clip (34 patients; 51%). Three cases of aortic injury and an injury of the left pulmonary artery were repaired. During hospitalization, two cases of bronchitis, three cases of pneumonia and one case of dysphonia were noted. The mean duration in intensive care unit was 1,5 days (1-4), the mean duration of hospitalization was 5 days (1-19). The survival rates at 2 years and 5 years were respectively 90% and 83%. Surgery of the patent ductus arteriosus can be applied in most centers of surgery where open heart surgery is not practiced.