Patent ductus arteriosus

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Written by Di Zhi Yong
Cardiology
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Is an 8mm patent ductus arteriosus severe?

Since patent ductus arteriosus is a congenital heart disease, it is recommended that patients have regular echocardiographic re-examinations. For the majority, this condition can close on its own. However, if it does not close, surgical treatment is necessary. Currently, the patient's patent ductus arteriosus has reached about 8 millimeters, which is quite severe. It is advised to seek early surgical treatment at a hospital to alleviate the symptoms. Presently, there are no medications available to treat this disease, and surgical treatment is the primary approach. Early surgical intervention at a hospital is advisable.

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Written by Xie Zhi Hong
Cardiology
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Will patent ductus arteriosus show signs of peripheral vascular disease?

Peripheral vascular signs refer to a medical sign characterized by enhanced pulsation of the peripheral arteries and capillaries due to increased pulse pressure. Patients with a patent ductus arteriosus can experience increased pulse pressure, leading to rapid rises and falls in pressure within the peripheral vessels, thereby causing a series of peripheral vascular signs. When a patent ductus arteriosus is combined with peripheral vascular signs, indicating a substantial shunt, it is advisable for such individuals to undergo surgery as soon as possible. Delaying surgery may lead to a right-to-left shunt, resulting in Eisenmenger's syndrome, and the loss of the opportunity for surgical intervention.

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Written by Xie Zhi Hong
Cardiology
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Can you drink alcohol with a patent ductus arteriosus?

Under normal circumstances, the ductus arteriosus in newborns gradually closes, and in most infants, the ductus arteriosus is completely closed within three months. However, for some people, even after one year of birth, the ductus arteriosus may not necessarily be diagnosed as congenital patent ductus arteriosus (PDA), a heart condition. Patients with this condition often experience pathological cardiac phenomena such as left-to-right shunts or right-to-left shunts. Due to these potential issues, the cardiac workload can worsen, leading to cardiac dysfunction and eventually heart failure. Drinking alcohol can potentially increase the patient's blood pressure and heart rate, adding more strain to the heart and exacerbating the condition. Therefore, it is advised that such patients avoid alcohol until after surgical treatment has been completed and their condition has stabilized. There are two methods of surgical treatment: most cases can be completely cured with interventional therapy, while a minority may require surgical ligation.

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Written by Di Zhi Yong
Cardiology
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Is a 4mm patent ductus arteriosus considered large?

Patent ductus arteriosus is a type of congenital heart disease. Generally, patients around the age of six months to one year may not necessarily have their ductus arteriosus close. If it does not close by around one year of age, it is considered a congenital heart disease, and it is recommended to seek early surgical treatment at a hospital. Surgery is needed if the condition exceeds approximately 4mm in size. If the patient currently shows no symptoms, it is possible to initially observe the condition. However, if symptoms persist, accompanied by palpitations, chest tightness, difficulty breathing, especially if respiratory infections recur, treatment is necessary.

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Written by Di Zhi Yong
Cardiology
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Does a patent ductus arteriosus easily lead to bronchitis?

Patent ductus arteriosus can lead to bronchitis, as this condition can cause recurrent respiratory infections, particularly bronchitis and bronchopneumonia. This is a type of congenital heart disease, and it is recommended that patients undergo regular echocardiography, especially cardiac ultrasound. If the closure of the patent ductus arteriosus is delayed, early surgical treatment is required. This condition can sometimes affect the growth and development of children, and it mainly causes repeated respiratory infections, including bronchitis, particularly issues with pulmonary inflammation, which require early management.

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Written by Di Zhi Yong
Cardiology
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The reasons for ventricular enlargement due to patent ductus arteriosus

Patent ductus arteriosus can lead to enlargement of the anterior heart, as it can cause enlargement of the left atrium, left ventricle, or anterior ventricle, potentially leading to heart failure, especially altering heart function. If a patient has a patent ductus arteriosus, I personally recommend getting an ECG at a hospital early and then determining a treatment plan. Currently, surgical treatment is advised to improve the condition of reduced heart function. During this time, it is still important to actively and regularly monitor changes in the patient’s blood pressure, heart rate, and pulse. If the heart rate is too fast or blood pressure is elevated, regular hospital visits are necessary for management.

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Written by Xie Zhi Hong
Cardiology
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Can a patent ductus arteriosus be treated with minimally invasive surgery?

Patent ductus arteriosus refers to the condition in infants where the ductal connection between the pulmonary artery and the aortic arch from the embryonic period remains open after the first year of birth. Generally, this duct is tubular or funnel-shaped and most cases can be treated minimally invasively. Surgical treatment is considered only if there are severe adhesions involving the aorta or pulmonary artery, or there are developmental issues. Therefore, patent ductus arteriosus can be treated with minimally invasive surgery, and most cases are amenable to such treatment.

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Written by Di Zhi Yong
Cardiology
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Which is more serious, patent ductus arteriosus or ventricular septal defect?

Both of these diseases are types of congenital heart disease, and if there are issues with either of them, the situation can be quite severe. There isn't a distinction between which disease is severe and which is not. If the arterial duct remains open or does not close, surgery is still required for this condition. Patients with ventricular septal defect primarily display changes related to ischemia and hypoxia, and they may also experience recurrent respiratory infections, which are quite serious. Surgery is generally the best treatment. Early surgical intervention can achieve a complete cure, but it is also advisable for the patient to have regular echocardiographic check-ups at the hospital.

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Written by Di Zhi Yong
Cardiology
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Is it easy to get pneumonia if the arterial duct is not closed?

Because patent ductus arteriosus is a type of congenital disease, particularly congenital heart disease, it is recommended that patients visit a hospital for a cardiac ultrasound. This can help clarify the diagnosis and thus determine the treatment plan. A simple patent ductus arteriosus can sometimes close on its own. For those that do not close or are underdeveloped, surgical treatment can be used to alleviate the current condition. This is important because the disease can easily lead to pneumonia, especially recurrent respiratory infections. Sometimes, there may be developmental anomalies, particularly affecting the growth and changes in the child's height and weight. In these cases, early surgical treatment is still recommended.

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Written by Xie Zhi Hong
Cardiology
1min 28sec home-news-image

Is a patent ductus arteriosus funnel type severe?

The arterial duct is a pathway through which blood from the maternal placenta is delivered to the fetus. This pathway usually closes at birth, and in most cases, it successfully closes within three months. If it remains open after one year, it can be diagnosed as a patent ductus arteriosus. The shapes of the arterial duct include funnel-shaped, tubular, and window-type. Regardless of the type, if it does not cause serious cardiac complications, it can be addressed with interventional treatments or surgical procedures, making it a relatively non-severe condition. However, if the patent ductus arteriosus remains open for a long time, leading to severe pulmonary arterial hypertension and even left-to-right shunts causing serious cardiac dysfunction, it is considered severe. Therefore, the shape of the patent ductus arteriosus does not have diagnostic significance regarding the severity of the condition. Rather, the severity is assessed based on the patient's symptoms, evaluation of cardiac function through echocardiography, and the condition of pulmonary artery pressure. In the early stages, most cases of patent ductus arteriosus are not very serious and can be resolved through treatment.