Hostname: page-component-7479d7b7d-fwgfc Total loading time: 0 Render date: 2024-07-10T07:39:09.460Z Has data issue: false hasContentIssue false
  • English
  • Français

Is spontaneous closure of a patent arterial duct common?

Published online by Cambridge University Press:  10 May 2016

Julien I. E. Hoffman
Julien I. E. Hoffman*
Affiliation:
Department of Pediatrics, University of California, San Francisco, California, United States of America
*
Correspondence to: J. I. E. Hoffman, MD, Professor of Pediatrics (Emeritus), Department of Pediatrics, University of California, 925 Tiburon Boulevard, Tiburon, San Francisco, CA 94920, United States of America. Tel: 1-415-435-6941; Fax: 1-415-889-8355; E-mail: jiehoffman@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

As closing a patent arterial duct is relatively simple, safe, and successful, most children with a patent arterial duct have it closed soon after diagnosis. The larger ducts are closed to prevent congestive heart failure, pulmonary vascular disease, or aneurysmal dilatation of the ductus, and smaller ducts are closed to prevent infective endocarditis. Consequently, there is no opportunity to determine whether spontaneous closure or diminution in size of the patent arterial duct is common.

If the duct does become smaller, flow through it may be so low that no murmur is produced – the silent ductus. The frequency and best management of the silent patent arterial duct are unknown, and we do not know whether these tiny ducts are the last stage before spontaneous closure.

Keywords

Size of ductussilent ductus arteriosusrisk of infective endocarditis
Type
Original Articles
Information
Cardiology in the Young , Volume 27 , Issue 1 , January 2017 , pp. 55 - 58
Check for updates
Copyright
© Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Arcilla, RA, Agustsson, MH, Bicoff, JP, et al. Further observations on the natural history of isolated ventricular septal defects in infancy and childhood. Serial cardiac catheterization studies in 75 patients. Circulation 1963; 28: 560–571.Google Scholar
2. Hoffman, JIE, Rudolph, AM. Natural history of ventricular septal defects in infancy. Am J Cardiol 1965; 16: 634–653.Google Scholar
3. Sullivan, ID. Patent arterial duct: when should it be closed? Arch Dis Child 1998; 78: 285–287.Google Scholar
4. Brown, JW. Congenital Heart Disease. Staples Press, Ltd, London, 1950.Google Scholar
5. Bishop, RC. Delayed closure of the ductus arteriosus. Am Heart J 1952; 44: 639–644.Google Scholar
6. Cosh, JA. Patent ductus arteriosus. A follow-up study of 73 cases. Br Heart J 1957; 19: 13–22.Google Scholar
7. Campbell, M. Natural history of persistent ductus arteriosus. Br Heart J 1968; 30: 4–13.Google Scholar
8. Dickinson, DF, Arnold, R, Wilkinson, JL. Congenital heart disease among 160 480 liveborn children in Liverpool 1960 to 1969. Implications for surgical treatment. Br Heart J 1981; 46: 55–62.Google Scholar
9. Lloyd, TR. PDA Coil Registry, 1995. Retrieved from http://wwwmedumichedu/pdc/pdacoil/pda_mainhtm Google Scholar
10. Hoffman, JIE. The Natural and Unnatural History of Congenital Heart Disease. Blackwell/Wiley, Oxford, 2009.Google Scholar
11. Bennhagen, RG, Benson, LN. Silent and audible persistent ductus arteriosus: an angiographic study. Pediatr Cardiol 2003; 24: 27–30.Google Scholar
12. Houston, AB, Gnanapragasam, JP, Lim, MK, et al. Doppler ultrasound and the silent ductus arteriosus. Br Heart J 1991; 65: 97–99.Google Scholar
13. Glickstein, J, Friedman, D, Langsner, A, et al. Doppler ultrasound and the silent ductus arteriosus [letter; comment]. Br Heart J 1993; 69: 193.Google Scholar
14. Lloyd, TR, Beekman, RH 3rd. Clinically silent patent ductus arteriosus [letter]. Am Heart J 1994; 127: 1664–1665.Google Scholar
15. Chebab, G, Saliba, Z, El-Rassi, I. The silent patent ductus arteriosus. J Med Libanais 2008; 56: 7–10.Google Scholar
16. Balzer, DT, Spray, TL, McMullin, D, et al. Endarteritis associated with a clinically silent patent ductus arteriosus. Am Heart J 1993; 125: 1192–1193.Google Scholar
17. Parthenakis, FI, Kanakaraki, MK, Vardas, PE. Images in cardiology: silent patent ductus arteriosus endarteritis. Heart 2000; 84: 619.Google Scholar
18. Malnick, SD, Shimoni, S, Zimhony, O. An unusual case of endocarditis. Cal Med Assoc J 2006; 174: 1087–1088.Google Scholar
19. Ferreira, PS, Rodrigues, P, Peres, A, et al. Infective endarteritis complicating clinically silent patent ductus arteriosus. Acta Med Port 2011; 24 (Suppl 3): 605–610.Google Scholar
20. Celebi, A, Erdem, A, Cokugras, H, et al. Infective endarteritis in a 2-month-old infant associated with silent patent ductus arteriosus. Anadolu Kardiyol Derg 2007; 7: 325–327.Google Scholar
21. Thilén, U, Aström-Olsson, K. Does the risk of infective endarteritis justify routine patent ductus arteriosus closure? Eur Heart J 1997; 18: 503–506.Google Scholar
22. Huggon, IC, Qureshi, SA. Is the prevention of infective endarteritis a valid reason for closure of the patent arterial duct? [editorial]. Eur Heart J 1997; 18: 364–366.Google Scholar
23. Marquis, RM, Miller, HC, McCormack, RJ, et al. Persistence of ductus arteriosus with left to right shunt in the older patient. Br Heart J 1982; 48: 469–484.Google Scholar
24. Fortescue, EB, Lock, JE, Galvin, T, et al. To close or not to close: the very small patent ductus arteriosus. Congenit Heart Dis 2010; 5: 354–365.Google Scholar
25. Benson, LN, Cowan, KN. The arterial duct: is persistence and its patency. In: Anderson RH BE, Macartney F, Rigby ML, Shinebourne EA, Tynan M, (eds). Paediatric Cardiology. Churchill Livingstone, London, 2002: 1405–1459.Google Scholar
26. Tan, J, Silverman, NH, Hoffman, JIE, et al. Cardiac dimensions determined by cross-sectional echocardiography in the normal human fetus from 18 weeks to term. Am J Cardiol 1992; 70: 1459–1467.Google Scholar