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Patent Ductus Arteriosus

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Treatment For Patent Ductus Arteriosus

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The aim of treating a patent ductus arteriosus (PDA) is to prevent complications by closing the PDA and reversing the effects of increased blood flow to the right side of the heart.

Primarily, the treatment will be focused on the symptoms presented by the patient.

More often, small PDAs close spontaneously without any treatment. Patient with no symptoms may be monitored as outpatients. Treatment is required for children, whose PDA is large or causes other health problems. Full term babies, with the ductus arteriosus still open at the age of 1 or 2, require treatment. Premature infants have high possibilities of automatic closure of their PDAs. However, onset of respiratory distress syndrome or other heart problems need immediate treatment.

Symptomatic patients can be treated either with medications or interventions. Heart failure should be managed using digoxin and diuretics. Supplementation of oxygen is required in case of hypoxia (low level of oxygen). Some patients may need support to breathe using a breathing machine called ventilator. Antibiotics are given as prophylaxis to prevent Infective endocarditis. Diuretics and fluid restriction may be necessary.

Medications are available to help with spontaneous closure of PDA and maybe used for small sized PDA as the first choice of treatment.

When medications fail, interventional treatment is indicated. Intervention can be through cardiac catheterization or surgery.

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If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts.
Posted by:  speechpath(Guest)  Posted on: 02/09/2013
What are some therapy options for improving a hoarse, high pitched voice as a result of Left Vocal Cord Paralysis.



Posted by:  victor6  Posted on: 01/31/2013
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



Posted by:  tjavailable  Posted on: 01/28/2011
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



Posted by:  Kavivarshini  Posted on: 11/10/2009
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.....



Posted by:  Kavivarshini  Posted on: 11/07/2009
What the reasons for PDA Problem occurs to child?



Posted by:  Kavivarshini  Posted on: 11/07/2009
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.



Posted by:  ProudMother(Guest)  Posted on: 07/16/2009
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?



Posted by:  SureshViswanathan(Guest)  Posted on: 01/30/2009
Regarding PDA - cardiac catheterization route - could you please let me know the risk factor and sucess rate.

Thanks


Posted by:  soccermom7(Guest)  Posted on: 03/20/2011
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.




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