Scribd Logo
Upload

Welcome to Scribd!

  • Understanding Patent Ductus Arteriosus (PDA

    Uploaded by

    william28asshole
    36 views2 pages
    This document discusses patent ductus arteriosus (PDA), a condition where the ductus arteriosus connecting the pulmonary artery and aorta fails to close after birth, allowing abnormal blood flow. Left-to-right shunting PDA is more common in certain dog breeds. A PDA can lead to congestive heart failure if left untreated due to the large blood volumes flowing to the lungs. Definitive closure of the PDA via transcatheter device placement or surgery is the primary treatment and provides an excellent prognosis if caught early, before cardiac dysfunction occurs.

    Original Description:

    ljp

    Original Title

    AERACardio Client-Brochure PDA

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document discusses patent ductus arteriosus (PDA), a condition where the ductus arteriosus connecting the pulmonary artery and aorta fails to close after birth, allowing abnormal blood flow. Left-to-right shunting PDA is more common in certain dog breeds. A PDA can lead to congestive heart failure if left untreated due to the large blood volumes flowing to the lungs. Definitive closure of the PDA via transcatheter device placement or surgery is the primary treatment and provides an excellent prognosis if caught early, before cardiac dysfunction occurs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    36 views2 pages

    Understanding Patent Ductus Arteriosus (PDA

    Uploaded by

    william28asshole
    This document discusses patent ductus arteriosus (PDA), a condition where the ductus arteriosus connecting the pulmonary artery and aorta fails to close after birth, allowing abnormal blood flow. Left-to-right shunting PDA is more common in certain dog breeds. A PDA can lead to congestive heart failure if left untreated due to the large blood volumes flowing to the lungs. Definitive closure of the PDA via transcatheter device placement or surgery is the primary treatment and provides an excellent prognosis if caught early, before cardiac dysfunction occurs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Gordon D.

    Peddle, VMD,
    DACVIM (Cardiology)
    Director of the Cardiology Section,
    AERA Internal Medicine Department

    Patent Ductus Arteriosus (PDA)

    Understandingpatentductusarteriosus(PDA)

    Theductusarteriosusisanormalfetalstructure
    connectingthepulmonaryartery(bloodsupply
    tothelungs)totheaorta(bloodsupplytothe
    body)thatclosesshortlyafterbirthinanormal
    individual.Insomenewborns,theductusfailsto
    closeandabnormalbloodflowfromthehigh
    pressureaorta(leftside)tothelowpressure
    pulmonaryartery(rightside)isestablished
    throughthispatent ductus arteriosus (PDA).
    LefttorightshuntingPDAcanoccurinanydog
    orcatbutismorecommonlyseeninthe
    followingdogbreeds:

    Bichon Frise
    Chihuahua
    Cocker Spaniel
    Collie
    English Springer Spaniel
    German Shepherd
    Keeshond
    Labrador Retriever
    Maltese
    Newfoundland
    Poodle
    Pomeranian
    Shetland Sheepdog
    Yorkshire Terrier

    ConsequencesofaPDA

    ThepresenceofaPDAallowsforlarge
    volumesofbloodtoflowfromtheaortato
    thepulmonaryarteryandlungs,which
    resultsinasignificantvolumeoverloadtothe
    leftsideoftheheart.Thiscanleadtocirculatorycongestionandleakageoffluid
    intothelungs,asyndromeknownascongestive heart failure (CHF)(formore
    informationseeoureducationalbrochureHeart disease and congestive heart
    failure).WithmostPDAsthisoccurswithinthefirstfewyearsoflife.Thelarge

    1 of 2

    volumeofflowcanalsoleadtoirreversiblepulmonaryvasculardiseaseand
    pulmonaryhypertension.Occasionally,verysmallPDAsareidentifiedwhichare
    notexpectedtocauseaproblemuntillaterinlife,ifatall.
    Diagnosis

    DetectionofaPDAmostcommonlyoccursfollowingauscultationofaloud,
    machineryqualityheartmurmurattheleftheartbaseonphysicalexaminationina
    younganimal.Echocardiography(cardiacultrasound)byaveterinarycardiologist
    isrequiredtoconfirmthediagnosisandcharacterizetheamountofflowacrossthe
    PDAaswellasassesscardiacstructureandfunction.Chestradiographs(xrays)
    helpdetermineifanyactivecongestiveheartfailureispresent.

    Treatment

    Definitiveclosureviatranscatheterdeviceplacementorsurgicalligationisthe
    primarytreatmentforalefttorightPDAinadditiontotreatmentofactive
    congestiveheartfailure,ifpresent.Transcatheterdeviceplacementisperformed
    byaveterinarycardiologistandisconsideredminimallyinvasive.Duringthis
    procedure,alongvascularcatheterisadvancedintotheregionofthePDAviaa
    peripheralarteryandusedtoperformanangiogram,orcontrastinjection,intothe
    PDAtoassessitssizeandshape.ThenasecondcatheterisusedtodeployaPDA
    closuredevice(ductaloccluderorGianturcocoil)underfluoroscopic(realtimex
    rayimaging)guidance.Surgicalligationisanotheroptionforclosurebutrequires
    openchestsurgery.

    Prognosis

    Ifleftuntreated,mostPDAsleadtocongestiveheartfailurewithinthefirstfew
    yearsoflifeandtheprognosisispoor.InmostcasesthePDAisdiagnosedearlyin
    puppyhoodandcardiacfunctioniswellpreserved,suchthatdefinitiveclosureis
    curativeandtheprognosisisexcellentforthepatienttoliveacompletelynormal
    life.Occasionally,permanentcardiacdysfunctionispresentwhichmayalteran
    individualsprognosis.Inrarecaseswherepulmonaryhypertensionhas
    developedandareversed,orrighttoleftPDAispresent,closureis
    contraindicatedandoverallprognosisispoor.
    2 of 2

    You might also like