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    Anak PDF

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    Gheavita Chandra Dewi
    The document discusses Patent Ductus Arteriosus (PDA), which is a leftover fetal artery that sometimes fails to close after birth, requiring the heart to work harder. PDA can be treated with catheterization to insert a plug, or with surgery to tie or clip the artery closed. With treatment, children's physical activity is not limited and long term outlook is excellent.

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    Anak PDF

    Uploaded by

    Gheavita Chandra Dewi
    32 views2 pages
    The document discusses Patent Ductus Arteriosus (PDA), which is a leftover fetal artery that sometimes fails to close after birth, requiring the heart to work harder. PDA can be treated with catheterization to insert a plug, or with surgery to tie or clip the artery closed. With treatment, children's physical activity is not limited and long term outlook is excellent.

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    The document discusses Patent Ductus Arteriosus (PDA), which is a leftover fetal artery that sometimes fails to close after birth, requiring the heart to work harder. PDA can be treated with catheterization to insert a plug, or with surgery to tie or clip the artery closed. With treatment, children's physical activity is not limited and long term outlook is excellent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views2 pages

    Anak PDF

    Uploaded by

    Gheavita Chandra Dewi
    The document discusses Patent Ductus Arteriosus (PDA), which is a leftover fetal artery that sometimes fails to close after birth, requiring the heart to work harder. PDA can be treated with catheterization to insert a plug, or with surgery to tie or clip the artery closed. With treatment, children's physical activity is not limited and long term outlook is excellent.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    Patent Ductus Arteriosus (PDA)

    Note: before reading the specific defect information and the image(s) that are associated
    with them, it will be helpful to review normal heart function.
    What is it?
    The ductus arteriosus is a leftover fetal artery
    connecting the main body artery (aorta) and the main
    lung artery (pulmonary artery). If this artery stays
    open (patent) after birth, its called a patent ductus
    arteriosus.
    What causes it?
    The ductus arteriosus is a normal fetal artery
    connecting the main body artery (aorta) and the main
    lung artery (pulmonary artery). The ductus allows
    blood to detour away from the lungs before birth.
    Every baby is born with a ductus arteriosus. After
    birth, the opening is no longer needed and it usually
    narrows and closes within the first few days.
    Sometimes, the ductus doesnt close after birth. Failure of the ductus to close is common in
    premature infants but rare in full-term babies. In most children, the cause of PDA isnt
    known. Some children can have other heart defects along with the PDA.
    How does it affect the heart?
    Normally the hearts left side only pumps blood to the body, and the right side only pumps
    blood to the lungs. In a child with PDA, extra blood gets pumped from the body artery
    (aorta) into the lung (pulmonary) arteries. If the PDA is large, the extra blood being
    pumped into the lung arteries makes the heart and lungs work harder and the lungs can
    become congested.
    How does PDA affect my child?
    If the PDA is small, it wont cause symptoms because the heart and lungs dont have to
    work harder. The only abnormal finding may be a distinctive type of murmur (noise heard
    with a stethoscope).
    If the PDA is large, the child may breathe faster and harder than normal. Infants may have
    trouble feeding and growing at a normal rate. Symptoms may not occur until several weeks
    after birth. High pressure may occur in the blood vessels in the lungs because more blood
    than normal is being pumped there. Over time this may cause permanent damage to the
    lung blood vessels.

    2009, American Heart Association

    Page 1 of 2

    Patent Ductus Arteriosus (PDA)


    What can be done about the PDA?
    If the PDA (ductus) is small, it doesnt make the heart and lungs work harder. Surgery and
    other treatments may not be needed. Small PDAs often close on their own within the first
    few months of life.
    Most children can have the PDA closed by inserting catheters (long thin tubes) into the
    blood vessels in the leg to reach the heart and the PDA, and a coil or other device can be
    inserted through the catheters into the PDA like a plug. The figure below in the left shows
    one example of how a catheterization is used to close the ductus. If surgery is needed, an
    incision is made in the left side of the chest, between the ribs. The ductus is closed by tying
    it with suture (thread-like material) or by permanently placing a small metal clip around the
    ductus to squeeze it closed. If theres no other heart defect, this restores the childs
    circulation to normal. In premature newborn babies, medicine can often help the ductus
    close. After the first few weeks of life, medicine wont work as well to close the ductus and
    surgery may be required.

    What activities can my child do?


    If the PDA is small, or if it has been closed with catheterization or surgery, your child may
    not need any special precautions regarding physical activity and may be able to participate
    in normal activities without increased risk.
    As far as follow up in the future, depending on the type of PDA closure, your childs
    pediatric cardiologist may examine it periodically to look for uncommon problems. The
    long-term outlook is excellent, and usually no medicines and no additional surgery or
    catheterization are needed.

    2009, American Heart Association

    Page 2 of 2

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