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[Silent persistent ductus arteriosus]

D Schumann1, S Schickendantz, A Borowski

  • 1Kinderkardiologie der Klinik und Poliklinik für Kinderheilkunde, Universität zu Köln.

Klinische Padiatrie
|September 1, 1993
PubMed
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Silent persistent ductus arteriosus (SPDA) was identified in 14 children using color Doppler. This condition is also observed after patent ductus arteriosus interventions, prompting a review of its frequency and management.

Area of Science:

  • Pediatric Cardiology
  • Echocardiography
  • Congenital Heart Disease

Background:

  • Silent persistent ductus arteriosus (SPDA) is a condition where the ductus arteriosus remains open without significant symptoms.
  • Previous studies have documented small ductus arteriosus in cases with other isolated heart defects.
  • SPDA can occur as a consequence of interventions for patent ductus arteriosus.

Purpose of the Study:

  • To report the incidence of SPDA identified through routine color Doppler evaluation.
  • To compare the observed frequency of SPDA with existing literature.
  • To discuss potential therapeutic approaches for SPDA.

Main Methods:

  • Prospective observation of 14 children with SPDA over a three-year period.
  • Utilized color Doppler flow evaluation for diagnosis.

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  • Reviewed historical data from cardiac catheterizations for comparison.

    • Main Results:

    • Identified 14 cases of SPDA in children during the study period.
    • Noted SPDA in 16 out of 345 isolated heart defects from prior catheterization data.
    • Acknowledged SPDA as a potential outcome following patent ductus arteriosus occlusion procedures.

    Conclusions:

    • Routine color Doppler is effective in detecting SPDA.
    • SPDA may be more common than previously thought, especially post-intervention.
    • Further research is needed to establish optimal management strategies for SPDA.