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Patent Ductus Arteriosus, Pediatric

Alexander Lowenthal, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Patent ductus arteriosus (PDA) is the persistence into postnatal life of the normal fetal vascular conduit between the central pulmonary and systemic arterial systems. Normally, the ...

DIAGNOSIS

HISTORY

  • Premature infants

    • Variable: ranging from asymptomatic to complete cardiovascular collapse

    • Increased ventilatory support, pulmonary hemorrhage, respiratory or metabolic acidosis from low...

TREATMENT

GENERAL MEASURES

  • Premature infant

    • Supportive treatment (careful use of oxygen, respiratory assistance, correction of metabolic acidosis)

    • Management of CHF with fluid restriction and diuretics

    • If...

ONGOING CARE

PROGNOSIS

  • Outcome in treated premature infants is generally good but depends mostly on the degree of prematurity and the presence of associated conditions.

  • Outcome in term infants and older...

ADDITIONAL READING

  • Anilkumar M. Patent ductus arteriosus. Cardiol Clin.  2013;31(3):417–430. [View Abstract on OvidInsights]

  • Clyman RI, Chorne N. Patent ductus arteriosus: evidence for and against...

CODES

ICD9

747.0 Patent ductus arteriosus 

ICD10

Q25.0 Patent ductus arteriosus 

SNOMED

  • 83330001 Patent ductus arteriosus (disorder)

  • 253686000 Patent ductus arteriosus - persisting type (disorder)

  • 125963005 ...

FAQ

  • Q: How long would you wait before pronouncing a DA persistent?

  • A: 3 months

  • Q: Is lifelong follow-up of patients who have undergone transcatheter occlusion with coils or other devices needed?

  • A: No st...

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