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.
Should I be concerned if my niece (14 yrs old) has been diagnosed with patent ductus arteriosus. What are treatment options?
Probably okay. Most commonly, when diagnosed in the teen age years, a patent ductus arteriosus (pda) can be treated successfully at cardiac catheterization by placing a "plug" in the PDA which essentially cures the problem. This can be accomplished with low risk and high likelihood of success in a pediatric cardiac center.
Patent Ductus. Yes. It is concerning. Surgical ligation is an option for 14 year old. Prognosis would be good if ligation is done prior to 3 yr old. After that they are more prone to pulmonary hypertension and heart failure. Please consult a congenital heart disease specialist.
Yes/close it. We like to detect these & get them closed by school age. Years ago they opened the chest, now they insert a umbrella like plug from a catheter (often from the groin blood vessel). Ignoring the issue can lead to long term problems with the heart, lungs and potential for a clot to end up in the brain. It is not an urgent issue but one that deserves attention.
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).
If needed. This is a natural bypass circuit that redirects most of the blood flow to the body rather than the developing lungs (which are not being used).After birth the rising blood oxygen level leads to closure in most. If it fails to close it can severely hamper a premi's progress, and might be "fixed" very early. In those who retain a PDA but are growing normally, we like to close it by school age.
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.
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.
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.
Variable issue. Some will close spontaneously. If the kid is having difficulty progressing because of the defect, they can try a medication closure. If unsuccessful & still poor progress it can be surgically closed. If the kid resolves his/her respiratory problem and it continues well after discharge, an elective closure at a later date can be arranged. Each case differs & rx depends on those differences.
Depends. Depends on the size of the ductus and whether it is deemed hemodynamically significant per the cardiologist and neonatologist not all ductuses need treatment in preemies. If treatment is necessary then Indomethacin or IV Ibuprofen are the treatments of choice. If medical therapy with either of the above meds fails then surgical ligation may be indicated.
Long-term normal. A patent ductus arteriosus (pda) is a normal structure before birth, that allows blood pumped from the right ventricle to bypass the lungs to reach the aorta and ultimately the placenta. If the PDA stays open after birth, it can result in excess blood flow to the lungs. If necessary, the PDA can be closed by surgery or catheterization with very high levels of success and long-term good health.
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.
PDA surgery. It is not a simple surgery. But easy for an experienced pediatric cardiothoracic surgeon.
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.