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Patent Ductus Arteriosus

What is Patent Ductus Arteriosus (PDA)?

  • PDA is the failure of a large blood vessel (ductus arteriosus) to close just after birth.
  • In a fetus, this vessel is normal and allows blood to bypass the lungs since the lungs are not used in utero.
  • At birth, the vessel should closes within hours, directing blood to flow into the newly inflated lungs.

Who gets this defect?

  • PDA is the most frequently seen congenital defect of dogs and is sometimes seen in cats.
  • The most commonly affected breeds are Maltese, Poodle, Pomeranian, Keeshond, Bichon Frise, Chihuahua and German Shepherds.
  • PDA is more common in females than males in most breeds.

Effects of PDA

  • Pets have a greater than 50% mortality rate for patients with a PDA by one year of age if left untreated.
  • Heart enlargement that can result in secondary left sided congestive heart failure (fluid in lungs).

How is PDA diagnosed?

  • A continuous ‘machinery’ murmur is heard by the veterinarian.
  • Referral to a board certified veterinary cardiologist such as those of CVCA for accurate definitive diagnosis via an echocardiogram (ultrasound or sonogram of the heart).

Treatment available for PDA

  • Based on the size of the patient at time of diagnosis and severity of complications, we will recommend one of two procedures:
    • Transvenous Catheterization:
      • In many patients we use non-invasive occlusion of the PDA.
      • A long catheter is placed in a hind leg and passed into the abnormal vessel using fluoroscopic guidance.
      • A device called an Amplatzer ductal occluder is then deployed to stop the abnormal blood flow through the PDA.
    • Surgical Ligation:
      • Smaller dogs and cats require open chest surgery to tie off the vessel itself.
      • The procedure requires surgery in the chest cavity but does not require opening the heart itself.
      • Our surgical team, led by Dr. Bonnie Lefbom, has unparalleled experience with this procedure, having performed over 150 surgeries with a greater than 98% success rate and rare incidence of complication.

Fortunately, with appropriate diagnosis and successful correction of a PDA under the care of a board certified veterinary cardiologist, the vast majority of treated pets will live a full and healthy life.

Thoracic radiograph revealing Amplatz ductal occluder device after successful deployment.
Thoracic radiograph revealing Amplatz ductal occluder
device after successful deployment..
patent ductus arterious
Diagram depicting the abnormal shunting of blood from the aorta (AO) to the pulmonary artery (PA) across the PDA.

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