Keeping the Ductus Arteriosus Patent: Current Strategy and Perspectives

Patent ductus arteriosus (PDA) continues to be a significant finding among infants, as well as adults. What is widely considered to be a problem though, in a group of patients with congenital heart disease, it is the only lifeline. We will initially study the anatomical and biochemical mechanisms af...

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Main Authors: Anastasios Chatziantoniou, Filippos-Paschalis Rorris, George Samanidis, Meletios Kanakis
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/15/3/241
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author Anastasios Chatziantoniou
Filippos-Paschalis Rorris
George Samanidis
Meletios Kanakis
author_facet Anastasios Chatziantoniou
Filippos-Paschalis Rorris
George Samanidis
Meletios Kanakis
author_sort Anastasios Chatziantoniou
collection DOAJ
description Patent ductus arteriosus (PDA) continues to be a significant finding among infants, as well as adults. What is widely considered to be a problem though, in a group of patients with congenital heart disease, it is the only lifeline. We will initially study the anatomical and biochemical mechanisms affecting the PDA. The main focus of this review is on ductal-dependent congenital heart disease and biochemical and pharmacological approaches to maintaining ductus arteriosus patency, as well as surgical and interventional options for maintaining circulation. The present review aims to highlight gaps in the knowledge regarding the multifunctional role of ductus arteriosus endothelium and possibly propose a new approach to pharmacological maintenance of ductus arteriosus patency.
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spelling doaj-art-9f28c80a6edf4e8eba92499c66126b342025-08-20T02:12:38ZengMDPI AGDiagnostics2075-44182025-01-0115324110.3390/diagnostics15030241Keeping the Ductus Arteriosus Patent: Current Strategy and PerspectivesAnastasios Chatziantoniou0Filippos-Paschalis Rorris1George Samanidis2Meletios Kanakis3Department of Cardiology, Onassis Hospital, 17674 Athens, GreeceDepartment of Pediatric and Congenital Heart Surgery, Onassis Hospital, 17674 Athens, GreeceDepartment of Cardiac Surgery, Onassis Hospital, 17674 Athens, GreeceDepartment of Pediatric and Congenital Heart Surgery, Onassis Hospital, 17674 Athens, GreecePatent ductus arteriosus (PDA) continues to be a significant finding among infants, as well as adults. What is widely considered to be a problem though, in a group of patients with congenital heart disease, it is the only lifeline. We will initially study the anatomical and biochemical mechanisms affecting the PDA. The main focus of this review is on ductal-dependent congenital heart disease and biochemical and pharmacological approaches to maintaining ductus arteriosus patency, as well as surgical and interventional options for maintaining circulation. The present review aims to highlight gaps in the knowledge regarding the multifunctional role of ductus arteriosus endothelium and possibly propose a new approach to pharmacological maintenance of ductus arteriosus patency.https://www.mdpi.com/2075-4418/15/3/241ductus arteriosuscongenital heart diseaseductal-dependent circulationsingle ventricle physiologyBlalock–Taussig shunt
spellingShingle Anastasios Chatziantoniou
Filippos-Paschalis Rorris
George Samanidis
Meletios Kanakis
Keeping the Ductus Arteriosus Patent: Current Strategy and Perspectives
Diagnostics
ductus arteriosus
congenital heart disease
ductal-dependent circulation
single ventricle physiology
Blalock–Taussig shunt
title Keeping the Ductus Arteriosus Patent: Current Strategy and Perspectives
title_full Keeping the Ductus Arteriosus Patent: Current Strategy and Perspectives
title_fullStr Keeping the Ductus Arteriosus Patent: Current Strategy and Perspectives
title_full_unstemmed Keeping the Ductus Arteriosus Patent: Current Strategy and Perspectives
title_short Keeping the Ductus Arteriosus Patent: Current Strategy and Perspectives
title_sort keeping the ductus arteriosus patent current strategy and perspectives
topic ductus arteriosus
congenital heart disease
ductal-dependent circulation
single ventricle physiology
Blalock–Taussig shunt
url https://www.mdpi.com/2075-4418/15/3/241
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AT meletioskanakis keepingtheductusarteriosuspatentcurrentstrategyandperspectives