Obstacles to the Early Diagnosis and Management of Patent Ductus Arteriosus
Sharada Gowda,
Ranjit Philip,
Mark Weems
Abstract:What we know is little, and what we are ignorant of is immense"; the last words of Laplace still apply to the diagnosis and management of the patent ductus arteriosus (PDA). Despite decades of research, we are searching for the right approach to care for patients with PDA. Nuances of myocardial structural changes and cardiopulmonary interactions with prolonged exposure to excess pulmonary blood flow have played an important role in decision-making. The availability of medical treatments with poor efficacy and,… Show more
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