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European Heart Journal Jun 2022
Topics: Ductus Arteriosus, Patent; Endarteritis; Humans
PubMed: 35452113
DOI: 10.1093/eurheartj/ehac217 -
Archives of Disease in Childhood. Fetal... Jan 2015The persistence of the patent ductus arteriosus (PDA) is frequently encountered in very preterm infants. Neither preventive nor curative treatments of PDA have been...
OBJECTIVE
The persistence of the patent ductus arteriosus (PDA) is frequently encountered in very preterm infants. Neither preventive nor curative treatments of PDA have been shown to improve the outcome of these infants. Since no consensus on optimal treatment of PDA is established, we evaluated the rate of spontaneous PDA closure in infants born before 28 weeks of gestation.
PATIENTS AND METHODS
We studied a retrospective cohort of 103 infants (gestational age 24-27 weeks) admitted to our neonatal intensive care unit from 1 June 2008 to 31 July 2010. Maternal and neonatal characteristics were collected. The PDA was defined by the persistence of ductal patency after 72 h and was followed up by regular echocardiography.
RESULTS
Twelve infants died within the first 72 h and were excluded from the analysis. Among 91 infants analysed, 8 (9%) closed their ductus arteriosus before 72 h and the ductus could not be determined patent in 13. Of the 70 infants with a PDA still persistent, one underwent surgical ligation and echocardiography showed spontaneous closure in 51 (73%) of them. In the remaining 18 infants, the date of PDA closure could not be determined either because of their death (n=11) or due to discharge (n=7). Overall, a spontaneous closure of the ductus arteriosus was observed in 59 of the 91 infants.
CONCLUSIONS
We have to question whether exposure to the risks of therapeutic interventions targeted for ductal closure is warranted since a PDA closes spontaneously in at least 73% of infants born before 28 weeks.
Topics: Ductus Arteriosus, Patent; Echocardiography, Doppler; Humans; Infant, Extremely Premature; Infant, Newborn; Remission, Spontaneous; Retrospective Studies
PubMed: 25169243
DOI: 10.1136/archdischild-2014-306339 -
Journal of Veterinary Cardiology : the... Oct 2021A 2.5-year-old intact female Marans domestic chicken was presented for lethargy, open beak breathing, and hyporexia. Echocardiography noted left atrial and left...
A 2.5-year-old intact female Marans domestic chicken was presented for lethargy, open beak breathing, and hyporexia. Echocardiography noted left atrial and left ventricular enlargement and computed tomography angiography revealed a type III left-sided patent ductus arteriosus. Retrograde catheterization of the ductus was performed via percutaneous access of the right external jugular vein, and transvenous ductal occlusion was achieved using an 8-mm Amplatzer™ Vascular Plug 4. Transient bradycardia and hypotension occurred during right heart catheterization, which were successfully treated with atropine and epinephrine. A two-week follow-up postoperative cardiac computed tomography scan confirmed appropriate placement of the occluder within the ductus, and echocardiography demonstrated reduced left heart size. The chicken showed an improvement in clinical signs and remains apparently well six months after the intervention. This report describes the computed tomographic findings of a patent ductus arteriosus in an avian species, minimally invasive transvenous closure of this congenital anomaly with a low-profile occlusion device, and the associated challenges and considerations specific to cardiac intervention in an avian patient.
Topics: Angiography; Animals; Cardiac Catheterization; Chickens; Ductus Arteriosus, Patent; Echocardiography; Female; Treatment Outcome
PubMed: 34509087
DOI: 10.1016/j.jvc.2021.08.001 -
Seminars in Perinatology Apr 1980
Review
Topics: Ductus Arteriosus, Patent; Epoprostenol; Female; Humans; Indomethacin; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature; Intermittent Positive-Pressure Ventilation; Ligation; Pregnancy; Prostaglandins
PubMed: 6990503
DOI: No ID Found -
European Journal of Cardio-thoracic... Oct 2022Primary pulmonary vein (PV) stenosis is a challenging condition to manage. Recently, extrinsic compression of the PV is being detected has cause of narrowing and...
Primary pulmonary vein (PV) stenosis is a challenging condition to manage. Recently, extrinsic compression of the PV is being detected has cause of narrowing and subsequent turbulence. This can be managed without direct intervention on the PV, reducing the risk of recurrence. We report a case of extrinsic compression of the PV due to cardiomegaly, relieved after patent ductus arteriosus ligation.
Topics: Cardiomegaly; Ductus Arteriosus; Ductus Arteriosus, Patent; Humans; Ligation; Pulmonary Veins
PubMed: 36149284
DOI: 10.1093/ejcts/ezac455 -
Turk Kardiyoloji Dernegi Arsivi : Turk... Sep 2019
[Characteristics of patients with patent ductus arteriosus and/or pulmonary hypertension living at moderate to high altitude and important considerations while performing transcatheter closure].
Topics: Altitude; Cardiac Catheterization; Ductus Arteriosus, Patent; Humans; Hypertension, Pulmonary
PubMed: 31483304
DOI: 10.5543/tkda.2019.40909 -
Internal Medicine (Tokyo, Japan) May 1997This report describes a 91-year-old patient with patent ductus arteriosus (PDA) complicated by combined valvular disease (CVD) (aortic and mitral stenosis, and aortic,... (Review)
Review
This report describes a 91-year-old patient with patent ductus arteriosus (PDA) complicated by combined valvular disease (CVD) (aortic and mitral stenosis, and aortic, mitral, pulmonic and tricuspid regurgitation). This patient seems to be the oldest living female with PDA and CVD hitherto reported in the medical literature. The patient developed several bouts of congestive heart failure which were treated medically. She not only has survived without surgical management, but is still enjoying her life at age 91. The features of PDA in the elderly are reviewed.
Topics: Aged; Aged, 80 and over; Ductus Arteriosus, Patent; Echocardiography, Doppler; Electrocardiography; Female; Heart Valve Diseases; Humans; Phonocardiography
PubMed: 9213171
DOI: 10.2169/internalmedicine.36.340 -
Vascular Health and Risk Management 2020Hemitruncus arteriosus refers to an uncommon congenital cardiovascular abnormality. It usually presents in infancy and leads to the development of pulmonary...
Hemitruncus arteriosus refers to an uncommon congenital cardiovascular abnormality. It usually presents in infancy and leads to the development of pulmonary hypertension, heart failure, and in severe cases maybe death. Herein, we reported hemitruncus arteriosus in a 10-day-old neonate with respiratory distress, patent ductus arteriosus, and thrombocytopenia.
Topics: Disease Progression; Ductus Arteriosus, Patent; Fatal Outcome; Humans; Infant, Newborn; Male; Respiratory Distress Syndrome, Newborn; Thrombocytopenia; Truncus Arteriosus, Persistent
PubMed: 32280232
DOI: 10.2147/VHRM.S245033 -
Pediatric Research May 2019
Topics: Cardiovascular Physiological Phenomena; Ductus Arteriosus, Patent; Hemodynamics; Humans; Infant, Newborn; Infant, Premature; Prognosis; Pulmonary Circulation; Treatment Outcome
PubMed: 30770863
DOI: 10.1038/s41390-019-0342-7 -
The Nebraska Medical Journal Jun 1995
Topics: Cardiac Surgical Procedures; Ductus Arteriosus, Patent; Humans; Infant, Newborn; Infant, Premature; Prognosis; Risk Factors
PubMed: 7623946
DOI: No ID Found