Patent ductus arteriosus in infancy.
نویسندگان
چکیده
In a report on 1,000 autopsies performed on patients dying of congenital heart disease, Abbott (1937) found that the principal lesion was a patent ductus arteriosus in 282 patients; 20% of these were infant deaths. Subsequently numerous reports have stressed that while this abnormality can prove fatal during the first year of life, surgery in skilled hands offers an effective remedy at this age with negligible risk (Ziegler, 1952; Rudolph, Mayer, Nadas and Gross, 1958; Bauersfeld, Adkins and Kent, 1957). Accurate diagnosis, however, may be difficult in infants. The classical continuous murmur so frequent in the older child (Hay and Ward, 1956) may not be heard, and interpretation of the signs which do present is not easy. In addition, the many complex cardiac abnormalities which are seen in infants give rise to special problems in differential diagnosis. In this paper the clinical findings and results of ancillary investigations are analysed in 28 infants in whom patent ductus arteriosus was the sole cardiac lesion.
منابع مشابه
Patent ductus arteriosus in a lamb: A case report
Patent ductus arteriosus (PDA) is a persistent patency of a vessel normally present in the fetus that connects the pulmonary arterial system to the aorta. The ductus arteriosus fails to close at birth when breathing commences and placental blood circulation is removed. Closure of the ductus arteriosus arises in response to decline pulmonary vascular resistance and increased systemic vascular re...
متن کاملPatent Ductus Arteriosus
The diagnosis of patent ductus arteriosus is difficult when the classic continuous murmur is not present. In infancy, in the presence of cardiac decompensation and when the ductus approximates the aorta in size, the continuous murmur is frequently absent. A correct diagnosis may be important, however, for a large patent ductus arteriosus can cause serious difficulty. Early surgical treatment ma...
متن کاملPatent ductus arteriosus.
The diagnosis of patent ductus arteriosus is difficult when the classic continuous murmur is not present. In infancy, in the presence of cardiac decompensation and when the ductus approximates the aorta in size, the continuous murmur is frequently absent. A correct diagnosis may be important, however, for a large patent ductus arteriosus can cause serious difficulty. Early surgical treatment ma...
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Introduction: This study aimed to investigate CRP and platelet count changes in preterm neonates with Patent Ductus Arteriosus on the seventh day of birth compared to the third day. Methods: This longitudinal study was conducted on fifty neonates with PDA complications in Afzalipour hospital in 2017-2018. All neonates underwent repeated e...
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عنوان ژورنال:
- Archives of disease in childhood
دوره 35 شماره
صفحات -
تاریخ انتشار 1960