Respiratory distress after ductus arteriosus ligation – Answer
Vol. 9 No. 1 (2020), Articles
Vol. 9 No. 1 (2020)

Respiratory distress after ductus arteriosus ligation – Answer

Articles
https://doi.org/10.7363/090137
Published 2020-03-13
Vanessa Gorito
Department of Neonatology, Centro Hospitalar e Universitário de São João, Porto, Portugal
Gustavo Rocha
Department of Neonatology, Centro Hospitalar e Universitário de São João, Porto, Portugal
Elson Salgueiro
Cardiothoracic Surgery Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
Paulo Éden Santos
Pediatric Cardiology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
Hercília Guimarães
Department of Neonatology, Centro Hospitalar e Universitário de São João, Porto, Portugal; Faculty of Medicine of University of Porto, Porto, Portugal
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Keywords

diaphragmatic paralysis
patent ductus arteriosus
respiratory distress
preterm

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. https://doi.org/10.7363/090137
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Abstract

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.

https://doi.org/10.7363/090137
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