Can you have children if you have a patent ductus arteriosus?

Written by Xie Zhi Hong
Cardiology
Updated on September 04, 2024
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The ductus arteriosus refers to a channel in the fetus that, before birth, allows blood from the maternal placenta to enter the fetus's aorta through the ductus arteriosus and then circulates the blood throughout the body. This channel closes after birth, and in the vast majority of people, it closes within a year. If it remains open until reproductive age, surgery is required because an open ductus arteriosus can lead to deteriorating heart function and, in severe cases, can cause heart failure. Therefore, women with an open ductus arteriosus can have children after treatment. An open ductus arteriosus is not a hereditary disease, and regardless of whether it is present in males or females, it is not genetic and they can have children.

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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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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 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 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
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Why does patent ductus arteriosus cause differential cyanosis?

The arterial duct refers to a blood vessel connecting the main pulmonary artery and the aorta, which is normally present during fetal development. It allows blood from the mother's placenta to seep into the pulmonary artery and then enter the aorta to supply the entire body's vasculature. After the birth of an infant, this blood vessel naturally closes, typically within 3 months, and most people will have it closed by 1 year. If it has not closed after 1 year, it is referred to as patent ductus arteriosus. Because the arterial duct can connect the aorta and the main pulmonary artery, blood from the systemic circulation in the aorta may directly return to the pulmonary artery at this time. If the pulmonary artery blood flow significantly increases, it can lead to pulmonary arterial hypertension and might also cause right ventricular hypertrophy. Increased cardiac workload can lead to right-sided heart failure and may also cause left-sided heart failure. When severe left-sided heart failure occurs, a right-to-left shunt can develop, which allows pulmonary artery blood to directly enter the aorta, causing venous blood to be delivered directly into the systemic circulation. At this point, differential cyanosis occurs, characterized by bluish discoloration of the upper limbs and mild blueness in the lower limbs.