What treatment is suitable for patent ductus arteriosus?

What treatment method is suitable for patent ductus arteriosus? Congenital heart disease causes the ductus arteriosus to fail to close. In this case, the patient's family does not need to worry too much. After all, the disease has already come. What we need to do is to think of countermeasures so that the child can reduce pain. What treatment method is suitable for patent ductus arteriosus? Let's learn about it together.

Treatment of patent ductus arteriosus:

1. 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 taken orally 4 times a day to inhibit prostaglandin synthesis and close the ductus.

2. Interventional treatment: Patent ductus arteriosus occlusion surgery, indications are various types of PDA, occlusion device selection: children with PDA diameter <0.3cm, choose spring coils, children with PDA diameter >0.3cm, choose mushroom umbrellas. The operation is less invasive, safer, simple to operate, with fewer complications and a shorter hospital stay (usually 3 days).

3. Surgical treatment: open chest surgery to ligate, cut and suture the ductus arteriosus.

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.

When your child encounters this disease, you must not panic. Stay calm. Help your child recover slowly. This is the best way for your child. Finally, I hope your child will recover soon and be healthy!