This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

HARRY A. DAVIS, M.D.

AMA Arch Surg. 1953;66(1):48-52.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

TECHNICAL difficulties which are encountered during surgical operations for patent ductus arteriosus arise directly or indirectly from dissection of the ductus. In children the ductus is relatively long and has a small lumen. In adults, however, it is often short, has a large lumen, and may therefore be difficult to isolate. The danger is increased if the ductus is friable or is surrounded by adhesions. Dissection of the posterior wall is particularly likely to tear the ductus and cause hemorrhage. Whether the procedure contemplated is division of the ductus, as Gross¹ advocates (Fig. 1), or ligation by the Blalock² method (Fig. 1), the ductus must first be carefully dissected out. If it has a large lumen, even the procedure of ligation may result in tearing of the wall when the ligature is drawn tight.

Hemorrhage, which occurs during operations for the patent ductus arteriosus, may be due not . . . [Full Text PDF of this Article]

Author Affiliations
LOS ANGELES

From the Department of Surgery, College of Medical Evangelists, Los Angeles Division.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?