Management Strategies of Patent Ductus Arteriosus in Preterm Infantsreview Article

Abstract

Patent ductus arteriosus (PDA) is a frequent congenital heart defect. It becomes even more common in preterm infants with a high burden of consequences and adverse effects. Recently, the emergence of a constellation of different management protocols urged for a comprehensive summery of the best evidence-based interventions. A detailed electronic search for evidence was carried out, including Cochrane, systemic and narrative reviews. Variable controversial aspects of PDA diagnosis and management were discussed. Brief echocardiographic and laboratory PDA diagnosis followed by a review of symptomatic and asymptomatic PDA Surgical and nonsurgical management strategies included. Early interventionfor asymptomatic PDA depending on echo scoring, and grading all symptomatic PDAs clinically and echographically can guide management and decrease the need for surgical ligation.