Preferred Label : Patent ductus arteriosus 1;
Symbol : PDA1;
CISMeF acronym : PDA; PDA1;
Type : Phenotype or locus, molecular basis unknown;
Alternative titles and symbols : PDA;
Description : Persistent patency of the ductus arteriosus, or patent ductus arteriosus (PDA), is
the second most common congenital heart disease, affecting approximately 1 in 1,600
to 5,000 live births in the U.S. (Mitchell et al., 1971). In fetal life, the ductus
arteriosus, a muscular artery, shunts blood from the pulmonary artery to the aorta,
bypassing the lungs. Its abrupt closure at birth establishes the mature circulatory
pattern and represents a dramatic example of vascular remodeling. Failure of this
normal process results in persistent PDA, which left untreated can result in pulmonary
hypertension and heart failure. Closure of the ductus is a complex process. Aspects
of this process are regulated by oxygen tension and a decrease in levels of hormones
such as prostaglandin E2. PDA occurring in preterm infants often closes spontaneously
or in response to inhibitors of prostaglandin biosynthesis (Ramsay et al., 1987).
Term PDA typically has not been regarded as a genetic disorder, because it most often
occurs sporadically. Nonetheless, term PDA recurs among 5% of sibs of PDA cases (Polani
and Campbell, 1960; Lamy et al., 1957), suggesting a genetic component to disease
pathogenesis that has typically been presumed to be multifactorial. That single genes
can influence this trait has been demonstrated by a mouse model of PDA resulting from
disruption of the prostaglandin E2 receptor (Nguyen et al., 1997) and by rare syndromic
forms of PDA such as Char syndrome (169100), an autosomal dominant disorder caused
by mutations in the transcription factor TFAP2B (601601) (Mani et al., 2002).;
Inheritance : Autosomal recessive;
Prefixed ID : %607411;
Origin ID : 607411;
UMLS CUI : C4282128;
Currated CISMeF NLP mapping
DO Cross reference
False automatic mappings
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ORDO concept(s)
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