This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by TSUJI, H. Articles by KAY, J. H. Search for Related Content PubMed Articles by TSUJI, H. Articles by KAY, J. H.

(Circulation. 1963;27:652.)
© 1963 American Heart Association, Inc.

---

Surgical Treatment of High Pressure Patent Ductus Arteriosus

HAROLD TSUJI M.D.¹; MORSE SHAPIRO M.D.¹; OSCAR MAGIDSON M.D., M.R.C.P., F.A.C.P.¹; EDWARD DUNNE M.D.¹; PETER DYKSTRA M.D.¹; JEROME HAROLD KAY M.D.¹

¹ From the Department of Surgery, Medicine, and Pathology of the University of Southern California School of Medicine, The Saint Vincent's Hospital, and the Los Angeles County General Hospital, Los Angeles, California.

Thirteen patients with high pressure patent ductus arteriosus were operated upon. There was no operative mortality in this group. Twelve patients have shown remarkable clinical improvement, and there was a decrease in the pulmonary arterial pressure at the time of recatheterization in 11 of these patients restudied. One patient developed severe pulmonary hypertension and died six and one-half years after operation.

The pulmonary arterial systolic pressure dropped minimally in two patients, despite marked clinical improvement. Both patients had associated lesions: a large ventricular septal defect in one and severe congenital aortic stenosis in the other. Both patients are to be operated upon.

All patients with a predominant left-to-right shunt and a patent ductus arteriosus should have division of the patent ductus arteriosus. If a concomitant lesion requiring open-heart operation, such as a ventricular septal defect or aortic stenosis, is present, it should be corrected at a later date.