1. TREATMENT

2. Ideal age for intervention:
• Small PDA wait & follow till spontaneous
closure
• Moderate PDA wait upto 2yrs or till baby is
10kg
• If PDA is present with symptoms like CCF or
infective endocarditis SURGICAL
intervention( closure of PDA)

3. Medical Management
Indicated when PDA is preterm baby or is likely
to close spontaneously:
• Indomethacin: 0.1-0.2mg/kg 12 hourly for 3
doses( most effective in pre terms). Started
48-72 hrs within birth. It acts by reducing PGE.
• Ibuprofen: given in baby with renal problem

4. Treatment of associated conditions
CARDIAC FAILURE:
• Avoid fluid overload( fluid restriction)
• Diuretics
• Digoxin

5. INTERVENTIONAL Procedures
• Indicated when term baby, PDA with CCF,
failure of medical measures
• Optimal age: 1st year of life
• It involves non surgical closure using
UMBRELLA device using transcatheter method
• C/I: high pulm. Artery pressure, Eisenmenger’s
syndrome

6. SURGICAL CLOSURE
• Indications: small infant with large PDA, pre
term.
• Double ligation of PDA

7. Baby is on the following:
• i.v. Isolyte P (18ml/hr)
• Syrup Digoxin (0.5ml BD)
• Syp. Maclar (1.3 ml BD)
• Syp. Calpol (2ml ;SOS)
• Tab. Lasilactone (12.5mg OD)
• Nebulisation with Levolin
• Tab. Envas (2.5mg; 0.5ml-0-0.5ml)