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Patent Ductus Arteriosus

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Complications And Prognosis of Patent Ductus Arteriosus (PDA)

Complications of PDA ligation are very rare.

 Infection and bleeding can occur.

 There is a rare chance of fluid building up around the lungs.

 Hoarseness or left vocal cord injury. (Caused by damage to the recurrent laryngeal nerve).

 Paralysis of the diaphragm. (Damage to Phrenic Nerve)

 Horner's syndrome or oculosympathetic palsy or Bernard-Horner syndrome. (Damage to the sympathetic nervous system) .

 False Aneurysms.

Long-term complications are also rare. They can be narrowing of the aorta or partial closure of the ductus arteriosus. When a single clip or ligature is placed in the PDA, recanalization or reopening of the ductus can occur. This occurrence can be as high as 23%. To avoid this complication, usually the PDA is ligated at both ends.

Surgical risk for PDA ligation is less than 1 %. Risk is higher in patients with chronic heart disease and chronic lung disease. Older patients with a fragile PDA are at a higher risk too.

Surgery should not be performed in patients with severe pulmonary hypertension where the flow is usually reversed and patients present with cyanosis. After surgery, there may be temporary pain and feelings of discomfort for a few weeks. Restriction of activity depends on the individual’s recovery. After complete recovery, the child should be able to eat better and gain proper weight. He/She can also participate in normal activities. Regular follow up appointments with the cardiologist is necessary.

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What are some therapy options for improving a hoarse, high pitched voice as a result of Left Vocal Cord Paralysis.
speechpath Saturday, February 09, 2013
My son is 6 years had an operation of PDA he is fine,eats well though still thin but strong and active.its now 3month
victor6 Thursday, January 31, 2013
Without treatments, Disease Patent Ductus Arteriosus[PDA] may progress from left-to-right(acyanotic heart) shunt to right-to-left shunt(cyanotic heart) called Eisenmenger syndrome, which has a grave outcome. http://heart-consult.com
tjavailable Friday, January 28, 2011
Sir/Mam,
Pls clarify why did the PDA problem occurs for the child?
What are all reasons for PDA Problem?

My Baby had at three months baby, cardiologist surgery and clear that problem..But I have one doubt in future anyother problem occurs for child...pls reply me as soon as possible.....

Kavivarshini Tuesday, November 10, 2009
What the reasons for PDA Problem occurs to child?

Kavivarshini Saturday, November 07, 2009
My daughter had this PDA problem in 3months baby. then cardiologist surgery for my baby. She is well. now she is 1 1/2 years old...I know in future anyother problem occurs for my daughter.
Kavivarshini Saturday, November 07, 2009
I would like to know the same thing. My daughter has a pda and doesn't eat. Tube fed. How is the success rate with eating after her pda is fixed?
ProudMother Thursday, July 16, 2009
Regarding PDA - cardiac catheterization route - could you please let me know the risk factor and sucess rate.

Thanks

SureshViswanathan Friday, January 30, 2009
My name is Tracey, I am 44 years old, and at age 6 I had a PDA closure with no complications. I have led a healthy and happy life. I am married and have three beautiful children.
soccermom7 Sunday, March 20, 2011

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