Evaluasi Klinis Pasien Patent Ductus Arteriosus (PDA) Pascatorakotomhigasi

Supomo, Ponco Darman?, Imam Sofii: Clinical evaluation of patient with patent ductus arteriosus (FDA, nostthoracotorny ligation, Background: Patent ductus arteriosus IPDA) is the persistence at the normal structure between aorta descendent and left pulmonary artery. This condition may lead to clinical symptoms in which the child become quick-fatigue, hard in breathing, no appetite to eat.lsuck., slow wowing body weight. Thoracotomy ligation surgery is the surgical procedure to manage this condition. Objective: This research was purposed to know clinically FDA patient which have bean perlormed thoracotomy ligation. Method: This research was a cohort study that prospectively followed up PDA patients which had been undergone performed thoracotomy ligation In Or Sardito Hospital Yogyakarta In 2002-2003 for 6 months period. Result There were 18 PDA patients which had been undergone thoracotomy ligation, 12 167%) girls, 6 (33%) boys. FDA diameter before ligation was variety between 3-12 rnms, after surgery in 13 children (7296) were completely closed, in 3 children 07%1 were still residual 1 mm, and in 2 children (11%) residual 1.5 mms15 children (83%) had clinical improvement: lost of quick-fatigua feeling and hard in breathing, 3 children {17%] felt the complaint still exist but milder than Wore18 children 1100%1 were Increasing in appetite and increasing in body weight. There was significant difference in clinical sign between before and after thoracotomy ligation. Conclusion: Thoracotomy ligation surgery on FDA was a surgical procedure with low risk and resulted in satisfying clinical improvement, Key word: PDA. thoracotomy ligation, children, clinicat improvement