Natural history of isolated patent ductus arteriosus and the effect of surgical correction: twenty years' experience at The Hospital for Sick Children, Toronto
Seven hundred and forty-four cases of patent ductus arteriosus were diagnosed at The Hospital for Sick Children, Toronto, in the 20-year period from 1947 to 1966. Of these 705 have been treated surgically. It is concluded that operation is best performed between 6 and 12 months of age. Isolated duct...
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| Veröffentlicht in: | Canadian Medical Association journal 1970-04, Vol.102 (7), p.718-720 |
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| creator | Coggin, C J Parker, K R Keith, J D |
| description | Seven hundred and forty-four cases of patent ductus arteriosus were diagnosed at The Hospital for Sick Children, Toronto, in the 20-year period from 1947 to 1966. Of these 705 have been treated surgically. It is concluded that operation is best performed between 6 and 12 months of age. Isolated ductus arteriosus is rarely a cause of congestive heart failure, and is more likely to be so in the presence of the rubella syndrome. Failure associated with the anomaly in the neonatal period can usually be successfully managed by medical treatment. Spontaneous closure after one month of age is not to be expected. Surgical treatment at the appropriate time prevents the subsequent development of Eisenmenger's complex. |
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Of these 705 have been treated surgically. It is concluded that operation is best performed between 6 and 12 months of age. Isolated ductus arteriosus is rarely a cause of congestive heart failure, and is more likely to be so in the presence of the rubella syndrome. Failure associated with the anomaly in the neonatal period can usually be successfully managed by medical treatment. Spontaneous closure after one month of age is not to be expected. Surgical treatment at the appropriate time prevents the subsequent development of Eisenmenger's complex.</description><identifier>ISSN: 0008-4409</identifier><identifier>PMID: 5439329</identifier><language>eng</language><publisher>Canada</publisher><subject>Adolescent ; Age Factors ; Cardiac Catheterization ; Child ; Child, Preschool ; Digitalis Glycosides - therapeutic use ; Diuretics - therapeutic use ; Ductus Arteriosus, Patent - diagnosis ; Ductus Arteriosus, Patent - drug therapy ; Ductus Arteriosus, Patent - epidemiology ; Ductus Arteriosus, Patent - mortality ; Ductus Arteriosus, Patent - surgery ; Eisenmenger Complex - etiology ; Follow-Up Studies ; Heart Failure - drug therapy ; Heart Failure - etiology ; Humans ; Infant ; Infant, Newborn ; Ontario ; Original ; Rubella - complications</subject><ispartof>Canadian Medical Association journal, 1970-04, Vol.102 (7), p.718-720</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1946661/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1946661/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5439329$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coggin, C J</creatorcontrib><creatorcontrib>Parker, K R</creatorcontrib><creatorcontrib>Keith, J D</creatorcontrib><title>Natural history of isolated patent ductus arteriosus and the effect of surgical correction: twenty years' experience at The Hospital for Sick Children, Toronto</title><title>Canadian Medical Association journal</title><addtitle>Can Med Assoc J</addtitle><description>Seven hundred and forty-four cases of patent ductus arteriosus were diagnosed at The Hospital for Sick Children, Toronto, in the 20-year period from 1947 to 1966. Of these 705 have been treated surgically. It is concluded that operation is best performed between 6 and 12 months of age. Isolated ductus arteriosus is rarely a cause of congestive heart failure, and is more likely to be so in the presence of the rubella syndrome. Failure associated with the anomaly in the neonatal period can usually be successfully managed by medical treatment. Spontaneous closure after one month of age is not to be expected. Surgical treatment at the appropriate time prevents the subsequent development of Eisenmenger's complex.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Cardiac Catheterization</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Digitalis Glycosides - therapeutic use</subject><subject>Diuretics - therapeutic use</subject><subject>Ductus Arteriosus, Patent - diagnosis</subject><subject>Ductus Arteriosus, Patent - drug therapy</subject><subject>Ductus Arteriosus, Patent - epidemiology</subject><subject>Ductus Arteriosus, Patent - mortality</subject><subject>Ductus Arteriosus, Patent - surgery</subject><subject>Eisenmenger Complex - etiology</subject><subject>Follow-Up Studies</subject><subject>Heart Failure - drug therapy</subject><subject>Heart Failure - etiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Ontario</subject><subject>Original</subject><subject>Rubella - complications</subject><issn>0008-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1970</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkcFOwzAMhnsAwRg8AlJOcKFS2qRpwwEJTcCQJjgwzlWaOFuga0qSAn0aXpVMTAgutmXr-3_L3ksmGOMqpRTzw-TI-xeMc5JjepAcFJRwkvNJ8vUgwuBEi9bGB-tGZDUy3rYigEJ9jF1AapBh8Ei4AM5Yvy07hcIaEGgNMmwZP7iVkVFHWudiz9juEoWPiI9oBOH8OYLPPvLQSUAioGXE59b3JkRIW4eejHxFs7VplYPuAi2ts12wx8m-Fq2Hk12eJs-3N8vZPF083t3Prhdpn5UspBWWVEkum4qDzgoOWJCyxIo1TClNpc4ZZpjmVOWsURXRRVnoijCNVcUbKMk0ufrR7YdmA0rGxeNV6t6ZjXBjbYWp_086s65X9r3OOGWMZVHgbCfg7NsAPtQb4yW0rejADr6uaEFoRrZOp3-dfi12LyHfibaMSQ</recordid><startdate>19700411</startdate><enddate>19700411</enddate><creator>Coggin, C J</creator><creator>Parker, K R</creator><creator>Keith, J D</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19700411</creationdate><title>Natural history of isolated patent ductus arteriosus and the effect of surgical correction: twenty years' experience at The Hospital for Sick Children, Toronto</title><author>Coggin, C J ; Parker, K R ; Keith, J D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p176t-80c4dc9cb89ef159e0a3770d6b6ddf4cf26060424d26bd83f575f836f0d89be73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1970</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Cardiac Catheterization</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Digitalis Glycosides - therapeutic use</topic><topic>Diuretics - therapeutic use</topic><topic>Ductus Arteriosus, Patent - diagnosis</topic><topic>Ductus Arteriosus, Patent - drug therapy</topic><topic>Ductus Arteriosus, Patent - epidemiology</topic><topic>Ductus Arteriosus, Patent - mortality</topic><topic>Ductus Arteriosus, Patent - surgery</topic><topic>Eisenmenger Complex - etiology</topic><topic>Follow-Up Studies</topic><topic>Heart Failure - drug therapy</topic><topic>Heart Failure - etiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Ontario</topic><topic>Original</topic><topic>Rubella - complications</topic><toplevel>online_resources</toplevel><creatorcontrib>Coggin, C J</creatorcontrib><creatorcontrib>Parker, K R</creatorcontrib><creatorcontrib>Keith, J D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Medical Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coggin, C J</au><au>Parker, K R</au><au>Keith, J D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Natural history of isolated patent ductus arteriosus and the effect of surgical correction: twenty years' experience at The Hospital for Sick Children, Toronto</atitle><jtitle>Canadian Medical Association journal</jtitle><addtitle>Can Med Assoc J</addtitle><date>1970-04-11</date><risdate>1970</risdate><volume>102</volume><issue>7</issue><spage>718</spage><epage>720</epage><pages>718-720</pages><issn>0008-4409</issn><abstract>Seven hundred and forty-four cases of patent ductus arteriosus were diagnosed at The Hospital for Sick Children, Toronto, in the 20-year period from 1947 to 1966. Of these 705 have been treated surgically. It is concluded that operation is best performed between 6 and 12 months of age. Isolated ductus arteriosus is rarely a cause of congestive heart failure, and is more likely to be so in the presence of the rubella syndrome. Failure associated with the anomaly in the neonatal period can usually be successfully managed by medical treatment. Spontaneous closure after one month of age is not to be expected. Surgical treatment at the appropriate time prevents the subsequent development of Eisenmenger's complex.</abstract><cop>Canada</cop><pmid>5439329</pmid><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0008-4409 |
| ispartof | Canadian Medical Association journal, 1970-04, Vol.102 (7), p.718-720 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Age Factors Cardiac Catheterization Child Child, Preschool Digitalis Glycosides - therapeutic use Diuretics - therapeutic use Ductus Arteriosus, Patent - diagnosis Ductus Arteriosus, Patent - drug therapy Ductus Arteriosus, Patent - epidemiology Ductus Arteriosus, Patent - mortality Ductus Arteriosus, Patent - surgery Eisenmenger Complex - etiology Follow-Up Studies Heart Failure - drug therapy Heart Failure - etiology Humans Infant Infant, Newborn Ontario Original Rubella - complications |
| title | Natural history of isolated patent ductus arteriosus and the effect of surgical correction: twenty years' experience at The Hospital for Sick Children, Toronto |
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