Respiratory distress after ductus arteriosus ligation – Answer


diaphragmatic paralysis
patent ductus arteriosus
respiratory distress

How to Cite

Gorito, V., Rocha, G., Salgueiro, E., Éden Santos, P., & Guimarães, H. (2020). Respiratory distress after ductus arteriosus ligation – Answer. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM), 9(1), e090137.


PDA varies according to gestational age and birth weight; it is more frequent among girls too. According to some series, about 30% of preterm infants with a birth weight below 1,500 g present a hemodynamically significant PDA (HS-PDA) in the first days of life.

Clinical course: On day 25 (D25) of life, a fluoroscopic exam confirmed the diagnosis of left hemidiaphragmatic paralysis. Due to the increase of the respiratory work despite support with NCPAP for 18 days and X-ray repetition, we decided to perform the plication. She had a good recovery after surgery and came out of respiratory support after 4 days. She was discharged off the NICU on D63. A comparative image showed the left hemidiaphragm in a neutral position. She maintains follow-up in Neonatology and Cardiology Outpatient Department, with a favourable clinical evolution.