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* UMAIR FAROOQI
* SU91-MSAHW-23-166
* FERMAN ULLAH
* SU91-MSAHW-23-115 *
PATENT DUCTUS ARTERIOSUS
PATENT DUCTUS ARTERIOSUS
* Patent ductus arteriosus (PDA) is a persistent opening
between the two major blood vessels leading from the heart. The heart problem is present from birth. That means it is a congenital heart defect. * An opening called the ductus arteriosus is part of a baby's blood flow system in the womb. It usually closes shortly after birth. If it remains open, it's called a patent ductus arteriosus.
* Mild PDA might not need treatment, but some children
with the defect may require catheterization or surgery * CAUSES
* The cause of PDA is not known, but genetics
might play a role. * PDA is more common in premature babies and affects twice as many girls as boys. * It's also common among babies with neonatal respiratory distress syndrome, babies with genetic disorders (such as Down syndrome), and babies whose mothers had rubella (German measles) during pregnancy. SIGNS & SYMPTOMS
Babies with a large PDA might have symptoms such as:
* A bounding (strong and forceful) pulse
* Fast breathing * Not feeding well * Shortness of breath * Sweating while feeding * Tiring very easily * Poor growth DIAGNOSIS
* Echocardiogram — an ultrasound scan of the
heart.
* Electrocardiogram — a test that uses
electrodes to evaluate the heart Treatment
* If a small PDA does not cause severe symptoms, it may not
need treatment. Sometimes the connection may close on its own a few months after birth. A baby may need medicine such as indomethacin (an anti-inflammatory) during these months to help close the connection, or water medicine (diuretics) to reduce the risk of fluid buildup. * Larger connections usually need treatment with catheterization or surgery. Cardiac catheterization * Catheterization is the most common treatment for PDA. During this minimally invasive procedure, a pediatric interventional cardiologist: Makes a tiny incision near a large blood vessel in the leg
Inserts a catheter (thin, flexible tube) into the blood vessel
and threads it up to the PDA
Slides a coil or other plug-like device through the catheter
and into the PDA to close it. PATENT DUCTUS ARTERIOSUS SURGERY * Patent ductus arteriosus surgery is usually reserved for babies with very large PDAs. Open surgery presents more risks than cardiac catheterization and requires a longer recovery time. During this procedure, a pediatric heart surgeon:
Makes an incision in the chest
Closes the connection with stitches or small metal clips.