How to deal with patent ductus arteriosus

How to deal with patent ductus arteriosus? In life, every part of our body may suffer from diseases, and diseases are also the most worrying thing. When a child suffers from patent ductus arteriosus, parents will be at a loss and don’t know how to deal with it. How to deal with patent ductus arteriosus?

The main treatment is surgery. Premature infants and infants with recurrent pneumonia, respiratory distress, heart failure or feeding difficulties should receive timely surgical treatment. For those without obvious symptoms, elective surgery is often recommended before school age. In recent years, surgery at an earlier stage has been advocated.

Treatment principles

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.