Abstract
Patent ductus arteriosus was diagnosed in 239 neonates of low birth weight (less than 2500 g) referred to the Hospital for Sick Children in a 21/2-year period. The respiratory distress syndrome was present in 77% of the group and congestive heart failure in 50%. Spontaneous closure of the defect was more frequent in those without congestive heart failure. In 48 patients whose heart failure could not be controlled by other medical therapy indomethacin was given, and in 20 (42%) it was judged successful. Surgical ligation of the ductus was performed at a median age of 30 days in 33 infants who either failed to respond to indomethacin or in whom its use was contraindicated; there were no intraoperative deaths, but 11 (33%) of the infants died 4 days to 6 months after the operation.
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Selected References
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- ASH R., FISCHER D. Manifestations and results of treatment of patent ductus arteriosus in infancy and childhood; an analysis of 138 cases. Pediatrics. 1955 Nov;16(5):695–703. [PubMed] [Google Scholar]
- Alpert B. S., Lewins M. J., Rowland D. W., Grant M. J., Olley P. M., Soldin S. J., Swyer P. R., Coceani F., Rowe R. D. Plasma indomethacin levels in preterm newborn infants with symptomatic patent ductus arteriosus--clinical and echocardiographic assessments of response. J Pediatr. 1979 Oct;95(4):578–582. doi: 10.1016/s0022-3476(79)80774-x. [DOI] [PubMed] [Google Scholar]
- Anderson C. E., Edmonds L. D., Erickson J. D. Patent ductus arteriosus and ventricular septal defect: trends in reported frequency. Am J Epidemiol. 1978 Apr;107(4):281–289. doi: 10.1093/oxfordjournals.aje.a112543. [DOI] [PubMed] [Google Scholar]
- Auld P. A. Delayed closure of the ductus arteriosus. J Pediatr. 1966 Jul;69(1):61–66. doi: 10.1016/s0022-3476(66)80362-1. [DOI] [PubMed] [Google Scholar]
- BURNARD E. D. A murmur that may arise from the ductus arteriosus in the human baby. Proc R Soc Med. 1959 Jan;52(1):77–78. doi: 10.1177/003591575905200114. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Baylen B. G., Meyer R. A., Kaplan S., Ringenburg W. E., Korfhagen J. The critically ill premature infant with patent ductus arteriosus and pulmonary disease-an echocardiographic assessment. J Pediatr. 1975 Mar;86(3):423–432. doi: 10.1016/s0022-3476(75)80979-6. [DOI] [PubMed] [Google Scholar]
- Bloom K. R., Rodrigues L., Swan E. M. Echocardiographic evaluation of left-to-right shunt in ventricular septal defect and persistent ductus arteriosus. Br Heart J. 1977 Mar;39(3):260–265. doi: 10.1136/hrt.39.3.260. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cotton R. B., Stahlman M. T., Bender H. W., Graham T. P., Catterton W. Z., Kovar I. Randomized trial of early closure of symptomatic patent ductus arteriosus in small preterm infants. J Pediatr. 1978 Oct;93(4):647–651. doi: 10.1016/s0022-3476(78)80910-x. [DOI] [PubMed] [Google Scholar]
- Danilowicz D., Rudolph A. M., Hoffman J. I. Delayed closure of the ductus arteriosus in premature infants. Pediatrics. 1966 Jan;37(1):74–78. [PubMed] [Google Scholar]
- Friedman W. F., Hirschklau M. J., Printz M. P., Pitlick P. T., Kirkpatrick S. E. Pharmacologic closure of patent ductus arteriosus in the premature infant. N Engl J Med. 1976 Sep 2;295(10):526–529. doi: 10.1056/NEJM197609022951003. [DOI] [PubMed] [Google Scholar]
- Grunkemeier G. L., Lambert L. E., Bonchek L. I., Starr A. An improved statistical method for assessing the results of operation. Ann Thorac Surg. 1975 Sep;20(3):289–298. doi: 10.1016/s0003-4975(10)64221-x. [DOI] [PubMed] [Google Scholar]
- Heymann M. A., Hoffman J. I. Problem of patent ductus arteriosus in premature infants. Paediatrician. 1978;7(1-3):3–17. [PubMed] [Google Scholar]
- Higgins C. B., Rausch J., Friedman W. F., Hirschklau M. J., Kirkpatrick S. E., Goergen T. G., Reinke R. T. Patent ductus arteriosus in preterm infants with idiopathic respiratory distress syndrome. Radiographic and echocardiographic evaluation. Radiology. 1977 Jul;124(1):189–195. doi: 10.1148/124.1.189. [DOI] [PubMed] [Google Scholar]
- Hirschklau M. J., DiSessa T. G., Higgins C. B., Friedman W. F. Echocardiographic diagnosis: pitfalls in the premature infant with a large patent ductus arteriosus. J Pediatr. 1978 Mar;92(3):474–477. doi: 10.1016/s0022-3476(78)80452-1. [DOI] [PubMed] [Google Scholar]
- Izukawa T., Mulholland H. C., Rowe R. D., Cook D. H., Bloom K. R., Trusler G. A., Williams W. G., Chance G. W. Structural heart disease in the newborn. Changing profile: comparison of 1975 with 1965. Arch Dis Child. 1979 Apr;54(4):281–285. doi: 10.1136/adc.54.4.281. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones R. W., Pickering D. Persistent ductus arteriosus complicating the respiratory distress syndrome. Arch Dis Child. 1977 Apr;52(4):274–281. doi: 10.1136/adc.52.4.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones R. W., Pickering D. Persistent ductus arteriosus complicating the respiratory distress syndrome. Arch Dis Child. 1977 Apr;52(4):274–281. doi: 10.1136/adc.52.4.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KROVETZ L. J., WARDEN H. E. Patent ductus arteriosus. An analysis of 515 surgically proved cases. Dis Chest. 1962 Jul;42:46–57. doi: 10.1378/chest.42.1.46. [DOI] [PubMed] [Google Scholar]
- Lucas A., Mitchell M. D. Plasma-prostaglandins in pre-term neonates before and after treatment for patient ductus arteriosus. Lancet. 1978 Jul 15;2(8081):130–132. doi: 10.1016/s0140-6736(78)91510-6. [DOI] [PubMed] [Google Scholar]
- McCarthy J. S., Zies L. G., Gelband H. Age-dependent closure of the patent ductus arteriosus by indomethacin. Pediatrics. 1978 Nov;62(5):706–712. [PubMed] [Google Scholar]
- Mitchell M. D., Lucas A., Whitfield M., Etches P., Brunt J. D., Turnbull A. C. Selective elevation of circulating prostaglandin concentrations in hyaline membrane disease in pre-term infants. Prostaglandins Med. 1978 Sep;1(3):207–212. doi: 10.1016/0161-4630(78)90107-6. [DOI] [PubMed] [Google Scholar]
- POLANI P. E., CAMPBELL M. Factors in the causation of persistent ductus arteriosus. Ann Hum Genet. 1960 Dec;24:343–357. doi: 10.1111/j.1469-1809.1960.tb01747.x. [DOI] [PubMed] [Google Scholar]
- POWELL M. L. Patent ductus arteriosus in premature infants. Med J Aust. 1963 Jul 13;2:58–60. [PubMed] [Google Scholar]
- ROWE R. D., LOWE J. B. AUSCULTATION IN THE DIAGNOSIS OF PERSISTENT DUCTUS ARTERIOSUS IN INFANCY. A STUDY OF 50 PATIENTS. N Z Med J. 1964 Apr;63:195–199. [PubMed] [Google Scholar]
- Rose V., Hewitt D., Milner J. Seasonal influences on the risk of cardiac malformation. Nature of the problem and some results from a study of 10,077 cases. Int J Epidemiol. 1972 Autumn;1(3):235–244. doi: 10.1093/ije/1.3.235. [DOI] [PubMed] [Google Scholar]
- Rowe R. D., Izukawa T., Mulholland H. C., Bloom K. R., Cook D. H., Swyer P. R. Nonstructural heart disease in the newborn. Observations during one year in a perinatal service. Arch Dis Child. 1978 Sep;53(9):726–730. doi: 10.1136/adc.53.9.726. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Siassi B., Blanco C., Cabal L. A., Coran A. G. Incidence and clinical features of patent ductus arteriosus in low-birthweight infants: a prospective analysis of 150 consecutively born infants. Pediatrics. 1976 Mar;57(3):347–351. [PubMed] [Google Scholar]
- Silverman N. H., Lewis A. B., Heymann M. A., Rudolph A. M. Echocardiographic assessment of ductus arteriosus shunt in premature infants. Circulation. 1974 Oct;50(4):821–825. doi: 10.1161/01.cir.50.4.821. [DOI] [PubMed] [Google Scholar]
- Stevenson J. G. Fluid administration in the association of patent ductus arteriosus complicating respiratory distress syndrome. J Pediatr. 1977 Feb;90(2):257–261. doi: 10.1016/s0022-3476(77)80645-8. [DOI] [PubMed] [Google Scholar]
- Thibeault D. W., Emmanouilides G. C., Nelson R. J., Lachman R. S., Rosengart R. M., Oh W. Patent ductus arteriosus complicating the respiratory distress syndrome in preterm infants. J Pediatr. 1975 Jan;86(1):120–126. doi: 10.1016/s0022-3476(75)80722-0. [DOI] [PubMed] [Google Scholar]
- USHER R. H. Respiratory problems in newborn infants. Postgrad Med. 1962 Jan;31:44–53. doi: 10.1080/00325481.1962.11694521. [DOI] [PubMed] [Google Scholar]