Patent ductus arteriosus historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]

Overview

Ductus arteriosus was introduced centuries ago, but it is proven that from the 17th century the presence of such a duct was announced by many anatomists working on cadavers. its management and treatment underwent many controversies and caregivers always had their ow management criteria for surgery or not overtime.

Historical Perspective

Discovery

  • Ductus arteriosus has been identified at least from the 17th century by antagonists studying cadavers.
  • For centuries caregivers had a controversy over treating PDA and many approaches evaluated.
  • Evolution of the knowledge about ductus arteriosus can be reviewed in four overlapping epochs[1]:
    • "The age of anatomical observation"
    • "Early decades of cardiac surgery"
    • "Golden age of fetal physiology"
    • "Era of modern neonatal intensive care"

Landmark Events in the Development of Treatment Strategies

  • In 1938 The first Surgery of PDA (ligation of the duct) by DR.Robert Gross at Boston Childeren's Hospital.[2]
  • It wasdone on a 7 years old girl with PDA.

References

  1. Raju, Tonse N. K. (2019). "From Galen to Gross and beyond: a brief history of the enigmatic patent ductus arteriosus". Journal of Perinatology. 39 (11): 1442–1448. doi:10.1038/s41372-019-0517-4. ISSN 0743-8346.
  2. "dash.harvard.edu" (PDF).

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