Can massage cure patent ductus arteriosus?

Patent ductus arteriosus is a common disease in the fetal period. Since the occurrence of patent ductus arteriosus is very harmful to the child, choosing the right treatment method is the key. The first treatment for patent ductus arteriosus is surgical treatment, especially for infants and young children with repeated pneumonia, respiratory distress or feeding difficulties. Patients with patent ductus arteriosus should receive surgical treatment in time. So, can massage cure patent ductus arteriosus? The answer is no.

1. Surgical methods for patent ductus arteriosus:

1. Duct arterial ligation or clamping: The surgery can be performed by entering the left thoracic cavity through a posterolateral chest incision or video-assisted thoracoscopy.

2. Arterial duct cutting and suturing: After clamping the arterial duct with two catheter clamps, continuously suture the edges of the aorta and pulmonary artery while cutting between the two clamps.

3. Internal suture method: that is, under general anesthesia and low-temperature extracorporeal circulation, the heart blood circulation is blocked, and the arterial duct incision is exposed and directly sutured through the pulmonary artery incision.

4. Catheter occlusion: using a cardiac catheter to release an appropriate occlusion device to achieve the purpose of occluding the ductus arteriosus.

The principles of surgical treatment for patent ductus arteriosus are as follows:

1. If the diagnosis is clear and contraindications are excluded, surgical treatment should be performed in principle. The appropriate age for surgery is 4 to 5 years old.

2. Patients with congestive heart failure who are not responsive to medical treatment should undergo emergency surgery.

3. Patients with symptomatic patent ductus arteriosus should undergo surgery as soon as possible.

4. If the ductus arteriosus is not closed and there is severe pulmonary hypertension and right-to-left shunt, surgery is contraindicated. For compensatory ductus arteriosus, surgery alone cannot be performed to close the ductus arteriosus unless other heart malformations are corrected at the same time.

5. Surgical method: Generally, the patent arterial ductus is ligated, clamped or cut and sutured through the fourth intercostal space of the left chest. For patients with large ductus, severe pulmonary hypertension, calcification of ductus wall, and bacterial catheter inflammation, surgery can be performed under extracorporeal circulation. Some patent arterial ductus can be clamped under video-assisted thoracoscopy.

6. Patent ductus arteriosus combined with other cardiovascular malformations, such as ventricular septal defect, atrial septal defect, etc., can be operated in one stage or in stages. If combined with tetralogy of Fallot, coarctation of the aorta, transposition of the great arteries, etc., one stage surgery is recommended.

Surgical ligation and cutting and suturing. The ideal age is 4-15 years old. If the disease progresses rapidly or there are repeated respiratory tract infections, heart failure, uncontrolled infective endocarditis, congestive heart failure that is ineffective with medical treatment, and symptomatic patent ductus arteriosus, the diagnosis is clear and contraindications are excluded. In principle, emergency surgical treatment should be performed as soon as possible.