The influence of percutaneous closure of patent ductus arteriosus on left ventricular size and function: a prospective study using two- and three-dimensional echocardiography and measurements of serum natriuretic peptides

Journal of the American College of Cardiology
Anneli EerolaJaana Pihkala

Abstract

We aimed to evaluate the effect of percutaneous closure of patent ductus arteriosus (PDA) on left ventricular (LV) hemodynamics. Today, most PDAs are closed percutaneously. Little is known, however, about hemodynamic changes after the procedure. Of 37 children (ages 0.6 to 10.6 years) taken to the catheterization laboratory for percutaneous PDA closure, the PDA was closed in 33. Left ventricular diastolic and systolic dimensions, volumes, and function were examined by two-dimensional (2D) and three-dimensional (3D) echocardiography and serum concentrations of natriuretic peptides measured before PDA closure, on the following day, and 6 months thereafter. Control subjects comprised 36 healthy children of comparable ages. At baseline, LV diastolic diameter measured >+2 SD in 5 of 33 patients. In 3D echocardiography, a median LV diastolic volume measured 54.0 ml/m2 in the control subjects and 58.4 ml/m2 (p < 0.05) in the PDA group before closure and 57.2 ml/m2 (p = NS) 6 months after closure. A median N-terminal brain natriuretic peptide (pro-BNP) concentration measured 72 ng/l in the control group and 141 ng/l in the PDA group before closure (p = 0.001) and 78.5 ng/l (p = NS) 6 months after closure. Patients differed from control...Continue Reading

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Citations

Sep 1, 2011·Cardiovascular Intervention and Therapeutics·Noriaki WatanabeYasuhiko Hayashi
May 13, 2010·Cardiology in the Young·Julie SmithNiels Vejlstrup
Feb 4, 2011·Clinical Chemistry and Laboratory Medicine : CCLM·Massimiliano CantinottiAldo Clerico
Jun 4, 2013·Journal of the American Veterinary Medical Association·Christopher D StauthammerMaxie U Krüger
Oct 16, 2008·Scandinavian Cardiovascular Journal : SCJ·Anneli EerolaJaana I Pihkala
Sep 14, 2007·Scandinavian Cardiovascular Journal : SCJ·Anneli EerolaJaana I Pihkala
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Apr 11, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Alexander J JavoisTarek Husayni
Aug 7, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marissa A BrunettiAllen D Everett
Jan 1, 2014·Journal of Veterinary Internal Medicine·A B SaundersM W Miller
Jan 21, 2015·Cardiology in the Young·Massimiliano CantinottiAldo Clerico
Jul 26, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Viralam S Kiran, Ashish Tiwari
Sep 20, 2019·Journal of Cardiothoracic Surgery·Mohamed Abdel-BaryKaram Mosallam Eisa
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Jun 5, 2020·Heart and Vessels·Jun YasuharaNaokata Sumitomo
Dec 29, 2020·Echocardiography·Vinutha RajeshPadmini Varadarajan

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