Patent ductus arteriosus closure and somatic regional

J Clin Monit Comput · Jun 2019

Letter Case Reports

Patent ductus arteriosus closure and somatic regional oxyhemoglobin saturation.

The authors report a case of a 14-day-old infant patient with patent ductus arteriosus (PDA) with pulmonary hypertension. Accidental clipping of the left pulmonary artery (LPA) during intended PDA closure was revealed, and subsequent urgent PDA closure and releasing a clip of the LPA were conducted. During surgeries we measured somatic regional oxyhemoglobin saturation (rSO2) values and change in those might be a key for early diagnosis of accidental clipping of the LPA. These findings suggest that we should understand the risk of accidental closure of the LPA during PDA surgery and somatic rSO2 values will provide information for early diagnosis of critical complication.

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- Junichi Saito, Kishiko Nakai, Jun Kawaguchi, Daiki Takekawa, and Kazuyoshi Hirota.
- Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Zaifu-cho 5, Hirosaki, 036-8562, Japan. fix-you@hotmail.co.jp.
- J Clin Monit Comput. 2019 Jun 1; 33 (3): 403-405.
AbstractThe authors report a case of a 14-day-old infant patient with patent ductus arteriosus (PDA) with pulmonary hypertension. Accidental clipping of the left pulmonary artery (LPA) during intended PDA closure was revealed, and subsequent urgent PDA closure and releasing a clip of the LPA were conducted. During surgeries we measured somatic regional oxyhemoglobin saturation (rSO2) values and change in those might be a key for early diagnosis of accidental clipping of the LPA. These findings suggest that we should understand the risk of accidental closure of the LPA during PDA surgery and somatic rSO2 values will provide information for early diagnosis of critical complication.

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Patent ductus arteriosus closure and somatic regional oxyhemoglobin saturation.

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