pda_flashcards
Why is closure of a patent ductus arteriosus (PDA) recommended?
To abolish lifelong risk of bacterial endocarditis and of pulmonary vascular disease.
What should be done if a cyanotic disease is dependent on a PDA?
Start a prostaglandin infusion to keep the PDA open until corrective surgery can be performed.
What is the first-line treatment for closing a PDA?
IV Indomethacin.
What are the alternative pharmacological treatments for PDA closure?
Prostacyclin synthetase inhibitor and ibuprofen.
In which infants is ibuprofen usually used for PDA closure?
In premature/VLBW (very low birth weight) infants.
What are the options if pharmacological methods for PDA closure are unsuccessful?
Surgical ligation or percutaneous catheter device closure.
When are symptomatic children or those with evidence of heart failure treated for PDA?
Treated earlier.
