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Surgical closure of patent ductus arteriosus in pre-term babies

Objectives: To present by illustration the surgical options in neonatal PDA closure with emphasis on clip application. Methods: Photo/video-documentation of surgical closure of PDA in a neonate by clip application coupled with free-hand drawings showing PDA closure by ligation and division. Review of 38 neonates undergoing surgical PDA closure in our institution between 1998 and 2006. Results: Overall survival following surgery was 100%. There was one case of residual PDA and three postoperative complications – 2 cases of pneumothorax and one chylothorax. Conclusion: The outcome of surgical closure of PDA in neonates is very good with zero mortality in our series and only few postoperative complications.