Effective treatment for patent ductus arteriosus

What is the best way to treat patent ductus arteriosus? Nowadays, various congenital diseases can be seen everywhere, especially some developmental malformations cannot be ignored. When the fetus develops abnormally, the possibility of illness will increase after birth. The occurrence of cardiovascular malformations is still a very serious problem. It is necessary to prepare for treatment as soon as possible. So what is the best way to treat patent ductus arteriosus?

The ductus arteriosus was originally a normal blood flow channel between the pulmonary artery and the aorta during the fetal period. Due to pulmonary respiratory dysfunction at this time, the pulmonary artery blood from the right ventricle enters the descending aorta through the ductus, while the blood from the left ventricle enters the ascending aorta. Therefore, the ductus arteriosus is necessary for the special circulation mode during the embryonic period.

After birth, the lungs expand and assume the function of gas exchange. The pulmonary circulation and systemic circulation each perform their respective functions. Soon, the ductus closes automatically due to disuse. If it continues to not close, it will form a patent ductus arteriosus. Surgery should be performed to interrupt its blood flow. Patent ductus arteriosus is a common congenital cardiovascular malformation, accounting for 12% to 15% of all congenital heart diseases, and the incidence in women is about twice that in men. About 10% of cases coexist with other cardiovascular malformations

Once the diagnosis of patent ductus arteriosus is established, surgery should be performed at an appropriate time if there are no contraindications to interrupt blood flow at the ductus. Currently, most patients with patent ductus arteriosus can be cured by transcardiac intervention (using Amplatzer mushroom umbrella or spring coil occlusion). For patent ductus arteriosus that is too large or in premature infants, open chest suture can be considered.

In recent years, premature infants with respiratory distress syndrome caused by patent ductus arteriosus can first be treated with drugs to promote ductal closure. If the effect is not good, surgical treatment can be advocated. Ductal closure surgery is generally performed before school age. If the shunt volume is large and the symptoms are severe, surgery should be performed early. The risk of surgery increases and the effect is poor when the age is too old or pulmonary hypertension occurs. Surgery should be postponed when suffering from bacterial endarteritis; however, if the drug cannot control the infection effectively, surgery should still be sought. After surgery, continue drug treatment, and the infection can often be quickly controlled.

I believe everyone is clear about the treatment method of patent ductus arteriosus. In order to reduce the occurrence of these health risks, female friends should make preparations and regulate their bodies during the pregnancy preparation stage. They should also have regular prenatal checkups after pregnancy to keep track of the fetal development and health status at all times and prevent problems before they occur.