Transfixion ligation of isolated patent ductus arteriosus a safe, easy and effective technique

A series of 110 patients with isolated patent ductus arteriosus have been submitted to surgical transfixion ligation. There were 79 females [71.8%] and 31 males [28.2%]. Age ranged from 5 months to 38 years with a mean age of 5.08 + 1.76 years. Diagnosis was made on clinical basis and confirmed by echocardiography. Surgical ligation of PDA was performed using double silk ligatures on both ends of the ductus together with a transfixion ligation in between. Mortality was 0.9%. Intraoperative bleeding happened in 2.7%. The alive patients have been followed up for variable periods of time, the longest of which was 15 years and no evidence of recanalization appeared till now