Heart & Cardiology/PDA

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Question
Dr Ahmed,

Can a small patent ductus arteriosis (one that doesn't require surgery or medication) get bigger over time?

If so, what are the symptoms?

Thanks for the help :)

Answer
Hi, http://myheart.net/articles/

Im assuming your PDA has been assessed by a specialist and that you don't have indications for closing it and you are not symptomatic. Im sure you have had the relevant tests such as an echocardiogram. Usually in adults we close PDA's in the following settings 1) symptoms and evidence of significant blood shunting across the PDA, evidence of elevated blood pressures in the lung, enlarged heart chambers, or prior infection in the heart. The echocardiogram can assess for pretty much all of these things. So since you have been reassured the only thing needed is regular follow up with an echocardiogram every few years or so. Symptoms could include fatigue and shortness of breath. Its not that the PDA enlarges, in fact is will likely become calcified and maybe smaller. Follow up is to ensure the effects on the heart remain minimal. So you should 1) ensure echocardiographic follow up periodically to ensure no detrimental effects to the heart or lung arteries and 2) be aware of the symptoms that could occur.

Hope that was helpful.  

Heart & Cardiology

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Mustafa Ahmed MD

Expertise

Cardiology, Interventional Cardiology, Cardiac Surgery, Hypertension, Pulmonary Embolism, Structural and Valve Disease

Experience

Board Certification Internal Medicine and Cardiology Interventional and Structural Cardiology

Organizations
http://blog.myheart.net

Publications
Multiple Publications In High Quality Peer Reviewed Journals. Internationally Recognized.

Education/Credentials
MD from The Royal Victoria University of Manchester, England Medicine, Cardiology, Interventional Cardiology, Research Training - University of Alabama

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