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.