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My niece (14 yrs old) has been diagnosed with patent ductus arteriosus. What are treatment options?
Most of the information I am finding relates to infants. How is this treated in teenagers? What are the lasting effects? She has always been very athletic until she started showing the symptoms that lead to her diagnosis. Will she still be able to participate in sports after treatment?
- 1 decade agoFavorite Answer
Occasionally, a small patent ductus arteriosus may not be detected until adulthood.
Patent ductus arteriosus (PDA) is a persistent, abnormal opening between two major blood vessels leading from the heart. Fortunately, this heart defect present at birth (congenital) often closes on its own or is readily treatable.
A small patent ductus arteriosus often doesn't cause symptoms. A doctor may discover it during a routine exam. An infant with a larger patent ductus arteriosus often has trouble gaining weight and exhibits other symptoms. An older child with a patent ductus arteriosus may not be as active as normal, may tire more easily and may have frequent lung infections.
Treatment options for repairing a patent ductus arteriosus include medications and surgery.
Surgery to repair a patent ductus arteriosus involves patching or sewing shut the abnormal opening. This can be done through an incision in the side of the chest or by catheterization. In cardiac catheterization, a thin tube (catheter) is inserted into a blood vessel in the groin and threaded up to the heart. Through the catheter, a plug or coil may be deployed to close the ductus arteriosus. In surgery, the ductus is closed with a metal clip.
Parents of children with congenital heart defects often worry about the risks of rough play and vigorous activity even after successful treatment. Although some children may need to limit the amount or type of exercise, many can lead normal or near-normal lives.
Your doctor can advise you about which activities are safe for your niece.
Take care as always!
- mehargLv 45 years ago
In PDA, there is an abnormal transmission of blood amid 2 of the biggest arteries in close proximity to the heart. previous to start, both important arteries—the pulmonary artery (which incorporates oxygen-negative blood) and the aorta—are frequently linked by using a blood vessel common because the ductus arteriosus, it really is needed contained in the fetal circulate. In popular little ones, the PDA closes withing hours of start. A small patent ductus arteriosus ought to close spontaneously as a baby grows. a better PDA that motives indicators calls for clinical administration and probably surgical restoration. The purpose of PDA ligation is to fix the patent ductus arteriosus previously the lungs develop into diseased from too a lot blood flow and rigidity. A health care professional closes the ductus arteriosus by using tying or clipping it, without establishing the heart. An incision is made on the left aspect of the chest close to the armpit, interior of which the PDA is uncovered the position it attaches to the aorta. The tie or clip is placed promptly around the PDA and the flow in the course of the PDA is stopped at modern. Clipping or tying is often carried out by 4 small incisions on the left aspect of the chest, with particular instruments designed to be utilized by such tiny incisions. I havent been by it yet considered little ones completely get over it...