Comparison of the Incidence of Residual Shunting Between Two Surgical Techniques Used for Ligation of Patent Ductus Arteriosus in the Dog
To compare the incidence of residual patent ductus arteriosus (PDA) flow after ligation using 2 different dissection techniques: a standard dissection and a method described by Jackson and Henderson. Study Design
A randomized, prospective study. Animals
Thirty-five dogs admitted for surgical correction of a left to right shunting PDA. Methods
Dogs were randomly assigned: 19 to a standard dissection technique (group S) and 16 to the Jackson and Henderson dissection group (group JH). Results
Gender ratio, age at surgery, and diameter of the ductus were not statistically different between groups. Breed distribution was also similar. Because 1 dog had fatal intraoperative hemorrhage, only 34 dogs were available for residual flow comparisons. Twenty-one percent of group S dogs had residual flow compared with 53% in group JH. Whereas no intraoperative complications occurred in group S, 3 were encountered in group JH. Conclusions
The incidence of residual flow was higher when the Jackson and Henderson dissection was used for PDA ligation compared with a standard method of dissection. This was probably because of entrapment of loose connective tissue within the medial aspect of the ligature, impeding complete closure of the ductus. Clinical Relevance
Ideal PDA closure should result in no residual ductal flow to prevent possible adverse long-term sequelae, such as recanalization and infective endocarditis.
©Copyright 2003 by The American College of Veterinary Surgeons
Document Type: Research Article
Affiliations: From the Department of Clinical Veterinary Studies, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush, Edinburgh, Scotland.
Publication date: 2003-05-01