[Strategies in surgical treatment of children with patent ductus arteriosus in their first year of life].
Experience of surgical treatment of the open complete atrioventricular channel (OCACH) in 78 children of the first year of life was summarized. Congestive cardiac insufficiency and pronounced pulmonary hypertension had constituted the main indications for hospitalization. Surgical treatment of OCACH was performed in 59 (75.6%) patients, including those, operated on using artificial blood circulation--41 (69.5%) and according to the closed method--18 (30.5%). The pulmonary artery narrowing as the first stage of surgical treatment was performed in 17 patients, pulmonary biopsy--in 1. Radical anatomical correction of the failure was done in 40 patients, the correction of its unbalanced form using artificial blood circulation--in 1. Poor state of the first year of life children with OCACH was caused by congestive cardiac insufficiency already in a newborn period. That's why they need medicinal therapy right from the first days of their life, operative treatment of the failure is indicated in early age (3-6 months). Results of surgical treatment of OCACH depend upon early diagnosis of the failure in a newborn child and its timely direction to specialized institution for operative treatment.