Question 1

what is the best patent ductus arteriosus treatment?

Accepted Answer

PDA -Age Dependent?: A PDA is required for a baby to survive before birth (allows the blood to bypass the lungs and get to the placenta)

1. Premature baby (medicine: Ibuprofen or others)
2.  Premature baby after medicine failures, (surgical ligation, by a pediatric cardiothoracic surgeon)
3.  Toddlers into adulthood: in the cath lab if needed;
     a.  Coil embolization
     b.  Amplatzer PDA device or vascular plug.

Question 2

what is the best treatment for patent ductus arteriosus and an asd hole?

Accepted Answer

It depends: Both patent ductus arteriosus (pda) and atrial septal defect (ASD) can be closed at heart catheterization with closure devices.  Another option is surgical closure.  The best treatment depends on the size of the defects, the size of the patient, and in asd, the location in the atrial septum.  Both surgery and cath closure have good early success and good long-term outcomes.

Question 3

what is a patent ductus arteriosus?

Accepted Answer

Ductus Arteriosus: A ductus arteriosus is a vessel that allows babies to survive while in utero... It allows blood to bypass the lungs which are full of amniotic fluid and get to the placenta where gas exchange occurs.

A patent ductus arteriosus is simply a vessel that has not closed (patent)  once born the lungs relax and the pressures fall.  As such, extra blood goes to the lungs, inefficient work for the heart.

Question 4

what exactly is patent ductus arteriosus?

Accepted Answer

PDA: Patent ductus arteriosus (PDA) is a persistent opening between two major blood vessels leading from the heart. The opening, called the ductus arteriosus, is a normal part of a baby's circulatory system before birth that usually closes shortly after birth. If it remains open, however, it's called a patent ductus arteriosus

Question 5

what?causes ?the patent ductus arteriosus?

Accepted Answer

Causes the PDA: The PDA is a critical vessel that allows the blood to bypass the lungs and get to the placenta while babys are still inside, in mom's uterus.  The lungs are full of amniotic fluid and don't do any gas exchange (o2 delivery and co2 release)

eveyone is born with a pda, it persists... Open (patent) most commonly in premature babies.
There is no absolute answer as to why it stays open in some people.

Question 6

how do?you ?treat patent ductus arteriosus?

Accepted Answer

PDA Age Dependent?: Pda closure (age dependent)
1.  Premature infants (medical therapy vs surgical ligation by a pediatric cardiothoracic surgeon)

2.  Babies to adults:
cath lab closure, using a coil or device.
Many different types and sizes of coils are available, delivered from a small catheter which is inserted in the femoral artery or vein.
Another option for large pdas is an aga PDA device or vascular plug.

Question 7

what are the tests for patent ductus arteriosus?

Accepted Answer

Echocardiogram: An ultrasound of the heart, called an echocardiogram, can detect patent ductus arteriosus.  This would generally be done by a cardiologist.

Question 8

what are the symptoms of patent ductus arteriosus?

Accepted Answer

Several symptoms. : A (p)persistent (d)ductus (a) allows blood to be shunted from the aorta to the pulmonary artery therefore causing more blood to go to the lungs. If the PDA is large, the increased blood flow to the lungs will determine a faster rate and work of breathing, the heart will enlarge and failure to thrive (grow appropriately). A PDA can and should be closed by a cardiologist or surgeon.

Question 9

i want to know what's the patent ductus arteriosus?

Accepted Answer

PDA: The PDA is an artery that connects the pulmonary artery to the aorta. It is present in everyone and is necessary for survival during fetal life. It allows blood to bypass the fluid filled lungs of the fetus and flow into the aorta and through the umbilical arteries back to the placenta. It normally closes within the first 72-96 hours of life. Occasionally it fails to close, requiring intervention.

Question 10

when do you worry about a patent ductus arteriosus?

Accepted Answer

Seldom: In a child whose ductus has not closed, the decision to try to induce closure with medication, or to ligate, is made by the physicians. An older child's patent ductus missed in infancy may be picked up as a murmur; it is not subtle, and usually needs treatment to prevent damage to the lungs and to enable junior to keep up in sports.

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