Can patent ductus arteriosus be cured?

Can patent ductus arteriosus be cured? As modern life becomes more and more stressful and the environment becomes more and more harsh, the incidence of patent ductus arteriosus is getting higher and higher. This disease is one of the common types of congenital heart disease in children, which seriously affects the health of children. Can patent ductus arteriosus be cured? The answer is yes. Let's take a look at the treatment methods of patent ductus arteriosus.

Drug treatment

Prevent and treat infective endocarditis, respiratory tract infection and heart failure. For premature infants with patent ductus arteriosus, 0.2-0.3 mg/kg of indomethacin or 20 mg/kg of aspirin can be used to inhibit prostaglandin synthesis and close the ductus.

Interventional treatment

That is, patent ductus arteriosus closure surgery, the indications are various types of PDA, the closure device selection: PDA diameter <03cm=""pda="">0.3cm children, choose mushroom umbrella. The operation is less invasive, safer, simple to operate, with fewer complications and a short hospital stay (usually 3 days).

Surgery

Thoracotomy surgery to ligate and cut the ductus arteriosus.

Since there are many pathogenic factors, there are also many treatment methods. According to my many years of medical experience, surgical treatment is recommended for patients with severe illness. For patients with mild illness, I recommend the use of indomethacin 0.2-0.3mg/kg or aspirin. As long as the above points are followed, this disease can be well treated.

The surgical mortality rate caused by massive bleeding during ductus arteriosus closure varies depending on the quality of the ductus wall, the surgical method used to close the ductus, and the level of surgeon skills, and should generally be less than 1%. Simple ductus ligation or clamping may result in ductus recanalization after surgery, and the recanalization rate is generally above 1%. The recanalization rate after padded ligation is lower than the former two.

The long-term effect of ductus arteriosus closure depends on whether there are secondary pulmonary vascular lesions before the operation and their extent. Patients who undergo surgery before pulmonary vascular lesions occur can fully recover and live as long as normal people. Patients with severe and irreversible pulmonary vascular lesions will still have high pulmonary vascular resistance and heavy right heart load after surgery, and the effect is poor.