The Ductus Dilemma: To Close or Not to Close in the Fight Against Endocarditis/Endarteritis

Given the low incidence of PDA IEE relative to procedural risks, the high number needed to treat and the associated costs, routine closure of non-hemodynamically significant PDAs solely for IEE prevention is not clearly justified, and no distinction should be made between audible and silent PDAs. The current guidelines warrant critical reassessment.