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February 25, 1939

SURGICAL LIGATION OF A PATENT DUCTUS ARTERIOSUS: REPORT OF FIRST SUCCESSFUL CASE

Author Affiliations

BOSTON

From the Surgical and Medical Services of the Children's Hospital and the Departments of Surgery and Pediatrics of the Harvard Medical School.

JAMA. 1939;112(8):729-731. doi:10.1001/jama.1939.02800080049011
Abstract

The continued patency of a ductus arteriosus for more than the first few years of life has long been known to be a potential source of danger to a patient for two reasons: First, the additional work of the left ventricle in maintaining the peripheral blood pressure in the presence of a large arteriovenous communication may lead eventually to cardiac decompensation of severe degree. Second, the presence of a patent ductus arteriosus makes the possessor peculiarly subject to fatal bacterial endarteritis. While it is true that some persons have been known to live to old age with a patent ductus of Botalli, statistics have shown that the majority die relatively young because of complications arising from this congenital abnormality. Dr. Maude Abbott1 presented a series of ninety-two cases which came to autopsy in which it was shown that the patient had had a patent ductus arteriosus without any other

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