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{{Patent ductus arteriosus}}
{{Patent ductus arteriosus}}
{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org], {{CZ}}; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@perfuse.org]
{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com], {{CZ}}; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
==Overview==
==Overview==
==Indications for Surgery
The decision for closure of patent ductus arteriosus depends on the size of ductus, presence of left or right ventricular hypertrophy and pulmonary arterial hypertension. It is contraindicated in patients with eisenmenger's syndrome and right-to-left shunt
==Contraindication==
==[[Indications for surgery in patent ductus arteriosus]]==
==[[Contraindication for surgery in patent ductus arteriosus]]==
==[[Risks associated with patent ductus arteriosus surgery]]==
==[[ACC/AHA recommendations for closure of patent ductus arteriosus]]==


* Severe and irreversible pulmonary artery hypertension
* Eisenmenger's syndrome.
There is some lack on consensus on the management strategies of silent and small patent ductus arteriosus.
==Small PDA==
Small PDA may present with audible murmur with or without symptoms of left volume overload. The American College of Cardiology/American Heart Association (ACC/AHA)recommends closure of small PDA, even without evident left sided volume overload. In case the PDA is left untreated, a follow-up every 3-5 year is recommended.
==Silent PDA==
Silent PDA
* No audible murmur.
* Detected incidentally on diagnostic procedures done for other conditions.
* Some experts are of opinion that silent PDA should be closed to decrease the risk of future endocarditis. Others believe that since silent PDA have very less risk for causing any hemodynamic complications in future so it could be left without any surgical intervention.
==[[Risks associated with patent ductus arteriosus surgery]]==
==References==
==References==
{{reflist}}
{{reflist|2}}


[[Category:Cardiovascular system]]
[[Category:Cardiovascular system]]

Latest revision as of 17:23, 2 November 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Priyamvada Singh, M.B.B.S. [2], Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]

Overview

The decision for closure of patent ductus arteriosus depends on the size of ductus, presence of left or right ventricular hypertrophy and pulmonary arterial hypertension. It is contraindicated in patients with eisenmenger's syndrome and right-to-left shunt

Indications for surgery in patent ductus arteriosus

Contraindication for surgery in patent ductus arteriosus

Risks associated with patent ductus arteriosus surgery

ACC/AHA recommendations for closure of patent ductus arteriosus

References

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