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Eisenmenger's Syndrome + PDA?

Pathognomonic for PDA-level shunting.

User Pyramation
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Final answer:

A patent ductus arteriosus (PDA) is a congenital heart condition where the ductus arteriosus fails to close after birth, leading to increased pulmonary pressure and respiratory difficulties. If untreated, it can reverse to Eisenmenger's Syndrome, which is a right-to-left shunt due to pulmonary hypertension. Treatment options include surgery or drugs to induce closure.

Step-by-step explanation:

Eisenmenger's Syndrome is often associated with congenital heart defects, such as a patent ductus arteriosus (PDA). A PDA is a condition where the ductus arteriosus fails to close after birth, allowing blood to flow from the higher pressure aorta into the lower pressure pulmonary artery. This results in increased pulmonary pressure and can lead to difficulty in respiration. Symptoms of PDA include shortness of breath, tachycardia, enlarged heart, and poor weight gain in infants. In Eisenmenger's Syndrome, the chronic left-to-right shunt through the PDA eventually leads to pulmonary hypertension, reversal of the shunt to a right-to-left direction, and cyanosis. Treatments for PDA might include surgical ligation, manual closure with platinum coils, or the administration of nonsteroidal anti-inflammatory drugs.

In fetal development, there are three major shunts: the ductus arteriosus, the ductus venosus, and the foramen ovale. These bypass certain circulatory paths and are crucial for the fetus, where the lungs are not yet functional. Postnatally, these shunts typically close; however, if the ductus arteriosus remains open, it is referred to as a PDA.

User Vboctor
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