Conservative management of patent ductus arteriosus in preterm infants

Intensive Care Med. 1979 Mar;5(1):33-6. doi: 10.1007/BF01739000.

Abstract

We report our experience of medical treatment, chiefly based on prolonged artificial ventilation, of 33 preterm infants with PDA and heart failure whose survival rate was 88%. All of them had clinical criteria used by others to indicate surgical ligation of the ductus arteriosus. This conservative approach seems to give better results than surgical ligation, despite a high frequency of bronchopulmonary dysplasia among survivors.

MeSH terms

  • Ductus Arteriosus, Patent / complications
  • Ductus Arteriosus, Patent / mortality
  • Ductus Arteriosus, Patent / surgery
  • Ductus Arteriosus, Patent / therapy*
  • Gestational Age
  • Heart Failure / etiology
  • Humans
  • Infant, Low Birth Weight
  • Infant, Newborn
  • Ligation
  • Lung Diseases / etiology
  • Respiratory Distress Syndrome, Newborn / complications
  • Respiratory Distress Syndrome, Newborn / therapy
  • Respiratory Therapy
  • Retrospective Studies