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Repair of Patent Ductus Arteriosus in a 1,417 Gm Infant

Am J Dis Child. 1963;106(4):402-410. doi:10.1001/archpedi.1963.02080050404009.
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In 1938 Gross performed the first successful ligation of a patent ductus arteriosus. Since that time techniques have varied1 and been perfected. Medical and surgical authors have discussed the radical and conservative treatment of this anomaly.2 Few corrections of this anomaly have been successfully carried out in the premature infant with secondary complications.

Most authors prefer to operate on the child free of cardiac failure, infection, and the technical hazard of extremely small size. But, if these adverse conditions exist and are medically irreversible, then operative intervention should be attempted.

The following case is an example of the successful repair of a patent ductus arteriosus in a premature infant with penumonitis and medically uncontrollable congestive heart failure. The patient weighed 3 lb 2 oz (1,417 gm) at the time of surgery. This case is believed to represent the smallest child ever to be successfully repaired.3

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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