PDA Closure

Question 1

What is the pharmaceutical treatment used to encourage closure of a Patent Ductus Arteriosus in a newborn?

Answer 1

Indomethacin or ibuprofen

These medications help promote the closure of the PDA.

Question 2

What are the recommended procedures if the PDA does not close after pharmaceutical treatment?

Answer 2

Cardiac catheterization procedure or surgery

These methods are used when medications are ineffective.

Question 3

How are small to medium size PDAs occluded?

Answer 3

Using coils of spring wire or other devices during catheterization

This is a minimally invasive procedure.

Question 4

What surgical method is used for larger PDAs and PDAs in small infants?

Answer 4

Ligation and, in some cases, division

Ligation involves tying off the ductus with ligatures.

Question 5

What is ligation in the context of PDA treatment?

Answer 5

The tying off of the ductus (PDA) with ligatures made of synthetic material

The vessel may or may not be divided after this procedure.

Question 6

Which congenital heart defects require keeping the PDA open?

Answer 6

D-type Transposition of the Great Arteries and Pulmonary atresia

These conditions need the PDA to ensure oxygenated blood circulation.

Question 7

What medication can be used to keep the PDA open?

Answer 7

Prostaglandin E1

This medication helps maintain the necessary blood flow.

Question 8

What is one method to keep the PDA open aside from medication?

Answer 8

Inserting a stent during a catheterization procedure

This procedure mechanically keeps the PDA patent.

Question 9

Fill in the blank: If the Patent Ductus Arteriosus remains open in a newborn, _______ may be used to encourage its closure.

Answer 9

indomethacin or ibuprofen

Question 10

True or False: A catheterization procedure can be used to permanently occlude small to medium size PDAs.

Answer 10

True

This is a common and effective treatment for these sizes of PDAs.