Is surgery necessary for an unclosed arterial duct?

Written by Di Zhi Yong
Cardiology
Updated on September 07, 2024
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Patent ductus arteriosus is a type of congenital heart disease. Currently, surgical treatment is recommended for patients because it involves minimally invasive techniques. Additionally, post-surgery recovery is quick, and there are fewer complications. Particularly for this disease, medication is often not very effective and does not achieve the therapeutic goal. Surgical treatment can completely resolve the patient's issues, thereby reducing the frequency of recurrence and not affecting the child's growth and development. In the meantime, it is still vital to actively prevent respiratory infections.

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Written by Xie Zhi Hong
Cardiology
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What will happen if patent ductus arteriosus is not treated with surgery?

Patients with patent ductus arteriosus are characterized by a congenital connection between the pulmonary artery and the aortic arch. This is a remnant passageway that was used during embryonic development to supply blood within the umbilical vessels, ensuring the development of the infant. Normally, this ductus arteriosus may close on its own within a few months. If it does not close after one year from birth, it is considered a patent ductus arteriosus. This condition can lead to increased workload on the heart. Because it allows blood pumped into the aorta to return to the right ventricle, over time, this can increase the burden on the left ventricle as well as the right ventricle. This may lead to heart failure and, in severe cases, trigger Eisenmenger's syndrome. If this condition reaches such a state, the patient loses the opportunity for surgery, resulting in a shortened lifespan.

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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 Di Zhi Yong
Cardiology
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Will patent ductus arteriosus increase with age?

Patent ductus arteriosus is a type of congenital heart disease, primarily treated through surgery. Early surgical intervention can completely cure this disease. However, as age increases, the symptoms of this disease can become more severe. Based on the patient's condition, it is recommended to undergo early surgical treatment at a hospital to alleviate the patient's suffering. As age increases, various organic diseases may emerge, which can sometimes affect a child's growth and development. During this period, it is advised that the patient regularly revisits the hospital for echocardiography checks and to also be cautious in preventing upper respiratory infections.

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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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Can you swim with patent ductus arteriosus?

If the patient has a history of patent ductus arteriosus, it is recommended that they avoid vigorous exercise, as this can increase the heart's oxygen consumption, leading to symptoms such as palpitations, chest tightness, and difficulty breathing. If it is solely this condition, sometimes palpitations may occur, leading to changes in cardiac function. It is advised not to swim. While appropriate exercise can be beneficial, swimming requires better cardiopulmonary function. It is recommended that patients undergo early surgical treatment to improve their current condition.