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Published on: January 27, 2023
Analysis of infective endarteritis in patent ductus arteriosus
Masood Sadiq1, Farhan Latif, Asif Ur-Rehman
1Department of Paediatric Cardiology, Punjab Institute of Cardiology, Lahore, Pakistan. drmasoodsadqui@hotmail.com
Insights
Infective endarteritis in children with patent ductus arteriosus often affects small ducts and is usually undiagnosed. Antibiotic treatment followed by closure is generally effective for this condition.
Area of Science:
- Pediatric Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Patent ductus arteriosus (PDA) is a congenital heart defect.
- Infective endarteritis is a rare but serious complication of PDA.
- Diagnosis of infective endarteritis in small ducts can be challenging.
Purpose of the Study:
- To report on the incidence and characteristics of infective endarteritis in children with PDA.
- To evaluate the effectiveness of antibiotic treatment and subsequent closure for this condition.
Main Methods:
- Retrospective review of 14 pediatric patients diagnosed with infective endarteritis and PDA over 6 years.
- Analysis of clinical presentation, diagnostic findings, treatment protocols, and outcomes.
Main Results:
- Infective endarteritis predominantly affected small, previously undiagnosed ducts.
- All patients received antibiotic therapy for 4-10 weeks.
- Successful closure was achieved in 13 out of 14 patients.
Conclusions:
- Infective endarteritis is an underdiagnosed complication of PDA in children.
- Prompt antibiotic treatment and surgical or interventional closure are crucial for successful management.
- Early diagnosis and intervention can lead to favorable outcomes.
Abstract:
This study reports on infective endarteritis in 14 children with patent ductus arteriosus over a period of 6 years. Infective endarteritis mostly involved the small ducts and was previously undiagnosed. These patients were given antibiotic treatment for a variable period of 4 to 10 weeks, and all except 1 underwent subsequent closure.
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