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February 1958

Patent Ductus Arteriosus with Pulmonary Hypertension

Author Affiliations

From the Department of Surgery, Indiana University Medical Center.

AMA Arch Surg. 1958;76(2):179-192. doi:10.1001/archsurg.1958.01280200001001

The classic patent ductus arteriosus is easily recognized, and its surgical treatment is not only curative but practically free of fatality. When the malformation is associated with pulmonary hypertension, the diagnosis is more difficult and surgical management is attended with special problems. It is the purpose of this communication to describe our experiences with patent ductus and pulmonary hypertension.

Patent Ductus and Proved Pulmonary Hypertension Not Associated with Other Congenital Malformation of the Heart  In 1950 we abandoned the policy of treating patent ductus by the multiple ligationtransfixion method and began to employ division and suture as the procedure of choice. The former had yielded over-all good results but had not been free of disastrous consequences. One patient ultimately died of hemorrhage which began when a ligature was drawn about the ductus. Another developed bacteremia and recanalization about six weeks after closure of the ductus and died of ventricular fibrillation