Top
20
Doctor insights on: Nursing Diagnosis For Patent Ductus Arteriosus

Share
1

1
How do you treat patent ductus arteriosus?

How do you treat patent ductus arteriosus?

Depends: In premature infants it is usually closed with medication (indomethacin). In the uncommon premature infant in which it does not work surgical ligation is required. Most pdas that are diagnosed in otherwise healthy children are closed with a catheter based device when they are over 2 years old. Read more

Dr. Alex Golden
44 Doctors shared insights

Patent Ductus Arteriosus (Definition)

A PDA (patent ductus arteriosus) is simply persistent fetal circulation. Before an infant is born and is not using their lungs, this artery is a pathway that allows oxygenated blood to get to the body's tissues. After birth the artery will normally close on its own but if not it is either monitored or treated ...Read more


2

2
How do? You? Treat patent ductus arteriosus?

How do? You? Treat patent ductus arteriosus?

Device closure: Pdas can almost always be closed in the catheterization laboratory using a small metal coil or device that can be placed with a catheter placed in the vein or artery in the groin rather than a surgery. In premature infants, it can often be closed with a medication. If this fails, surgery is most often done since they are too small for catheter-based methods. Soon there may be smaller systems. Read more

See 1 more doctor answer
3

3
Why did patent ductus arteriosus commonly left open?

Confusing question: A PDA is an energy saving bypass used in the developing fetus to send most of the hearts blood flow to the body rather than the lungs before birth. After birth, the rise in blood oxygen content usually triggers the bypass to close. It remains open in some cases & can create problems in later life. Closure by medicine, catheter or surgery is the common practice in the us by school age. Read more

See 1 more doctor answer
4

4
How expensive is the patent ductus arteriosus repair?

How expensive is the patent ductus arteriosus repair?

Widely variable: The cost of PDA repair is widely variable both by location of where in the US it is done and the procedure performed (surgery vs. catheter). Most are now done by catheter with no incision and less than a one day stay. This is a great (and fair) question to ask your doctor's office/hospital where this will be done. In these days of managed care, I believe its best to know what you are getting into. Read more

6

6
What is the definition or description of: Patent ductus arteriosus?

Fetal circulation: A PDA (patent ductus arteriosus) is simply persistent fetal circulation. Before an infant is born and is not using their lungs, this artery is a pathway that allows oxygenated blood to get to the body's tissues. After birth the artery will normally close on its own but if not it is either monitored or treated medically or with surgery. Read more

7

7
What activities should I avoid since I have patent ductus arteriosus?

Nothing much: I assume it is too small to bother closing. You should avoid poor dental hygiene, and IV drug abuse (to avoid endocarditis). Otherwise feel free to do whatever. Read more

8

8
Who gets patent ductus arteriosus treatment?

Who gets patent ductus arteriosus treatment?

Anyone may need it: Patent ductus arteriosus (pda) is a normal fetal anatomic connection between the pulmonary artery and aorta that allows blood to bypass the lungs. Because fetuses don't use their lungs to exchange co2 and oxygen (due to a placenta), they do not require much blood flow to the lungs. The PDA normally closes soon after birth as babies start breathing, but can remain open in any infant (esp. Premies). Read more

See 1 more doctor answer
9

9
What is the best patent ductus arteriosus treatment?

Device closure: Pdas can almost always be closed in the catheterization laboratory using a small metal coil or device that can be placed with a catheter placed in the vein or artery in the groin rather than a surgery. Read more

See 1 more doctor answer
10

10
Will PDA (patent ductus arteriosus) help with TOF (tetralogy of fallot)?

Will PDA (patent ductus arteriosus) help with TOF (tetralogy of fallot)?

Sometimes: In Tetralogy of Falot, blood flow to the lungs may be restricted. As there are various degrees of restriction, there may be a need for more blood flow to the lungs. This situation may be helped by maintaining an open PDA. However if the pulmonary valve restriction is not severe, then an open PDA is not necessary. The cardiologist can draw this out for you. Read more

11

11
Is pda- patent ductus arteriosus surgery for infant an easy to do surgery?

Is pda- patent ductus arteriosus surgery for infant an easy to do surgery?

Depends: Heart surgery is never "easy". But closure of a PDA is one of the least complicated types of heart surgery. It has a very high success rate and low complication rate. However, when performed in a premature baby, the risk is much greater. Read more

See 1 more doctor answer
12

12
Is there a? Difference between a? Patent foramen ovale and? A patent ductus arteriosus?

Is there a? Difference between a? Patent foramen ovale and? A patent ductus arteriosus?

Yes: A patent foramen ovale (pfo) and patent ductus arteriosus (pda) are conditions that allow fetal circulation to flow. Once the infant is born different blood flow patterns are required to oxygenate the blood. The closing off of the pfo and PDA allow the blood flow to assume the normal post natal pattern. Read more

See 1 more doctor answer
13

13
My teenage nephew? Has been diagnosed with patent ductus arteriosus. What are treatment options?

PDA Age Dependent?: Pda closure (age dependent) babies and adults can have their pdas closed in the cath lab if needed... "hemodynamically significant" 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. Safe and effective. Read more

14

14
What is a patent ductus arteriosus?

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. Read more

15

15
What are the tests for patent ductus arteriosus?

What are the tests for patent ductus arteriosus?

PE, CXR, Echo.: A physical exam, chest x-ray and, more importantly, an echocardiogram are the tests needed to diagnose a patent ductus arteriosus. Read more

See 1 more doctor answer
16

16
What are the symptoms of patent ductus arteriosus?

What are the symptoms of patent ductus arteriosus?

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. Read more

17

17
I want to know what's the patent ductus arteriosus?

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. Read more

18

18
What's the safest way to treat patent ductus arteriosus?

It depends: In newborns, closure of a patent ductus arteriosus may be achieved through medications (such as Indomethacin or ibuprofen) or by surgical ligation and division. In older children or adults, ductal closure is usually performed by a catheter-based approach, or surgical ligation and division. All of these therapies are generally safe, but all have certain risks associated with them. Read more

See 1 more doctor answer
19

19
What sort of symptoms are in a child with patent ductus arteriosus?

What sort of symptoms are in a child with patent ductus arteriosus?

It varies: Children with patent ductus arteriosus (pda) may be entirely asymptomatic (often diagnosed by a typical heart murmur) or they may have signs and symptoms of congesitve heart failure secondary to a left-to-right shunt. These symptoms may include a fast heart rate, fast, abnormal breathing, and failure to gain weight appropriately. The symptoms depend on the size of the PDA and degree of shunting. Read more

20

20
How hard is the surgery for a? Patent ductus arteriosus repair?

Depends: In very small infants, the ductus will be ligated (pinched closed with a surgical clip). Most risk comes from the anesthesia and partially collapsing the lung to visualize the area. In older infants & children, a PDA may be closed through a cath procedure, where a large IV is inserted into a vein and a small plug is placed into the PDA -- no surgery at all, & practically an outpatient procedure! Read more

See 1 more doctor answer