Page 211 - Clinical Manual of Small Animal Endosurgery

Thoracoscopy 199

(a)

(b)

Fig. 6.23 (a) Passing suture behind
the ligamentum arteriosum for
ligation in a case of PRAA.
Extracorporeal knot application with
a 3 mm knot pusher is the method
of choice. (b) Sealing of the
ligamentum arteriosum with 3 mm
bipolar forceps before sectioning
in a small, 5-week-old puppy with
a PRAA. Note the proximity of the
phrenic nerve. (c) Sectioning of
the ligamentum arteriosum after (c)
ligation in PRAA.