Best treatment for patent ductus arteriosus and an ASD hole?
My five month old son just got diagnosed with patent ductus arteriosus and he also has an ASD hole in his heart. The doctor believes that they both need to be corrected within the next 2 months. They are causing him a lot of breathing problems. I am going to talk to the cardiac surgeons next week, but I am wondering what is the best way to fix this problem. Or if any parent has already had this problem with their child, how was it fixed?
I know wha this is, but I was wondering if they make an actual incision or go up through the groin? And if it is an incision do they have to use that machine so they can stop your heart?
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Repair of a patent ductus arteriosus (PDA) and atrial septal defect (ASD) can only be "cured" by surgery. The congenital, open connection between the aorta and pulmonary artery must be closed surgically and permanently. The opening between the two upper chambers of the heart (an atrial septal defect) may need to be closed by a patch, perhaps made of teflon and done surgically at the same time by a pediatric cardiac surgery during open heart surgery. The two defects are known to occur at birth and have been repaired many times by heart surgeons with good results. (
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5 month old with ASD hole in heart, and patent ductus arteriosus, any one going through the same thing?
For so long my five month old son has had rapid breathing. The doctors have done everyting they could to figure out why he is doing that. All they could find was an ASD hole in his heart and they also said that he has a patent ductus arteriosus. I am totally freaked out because no parent wants to find out that their baby has something wrong with their heart. They are going to do surgery to correct the problem, but I'm also freaked out about him undergoing that. Is any parent going through the same thing?
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I can understand what you're going through.
My baby daughter was born six weeks ago with severe heart conditions and had two operations by the time she was 8 days old.
One was surgery to close the ductus arteriosus, which was kept open at birth to allow her to breath (as her Pulmonary Valve was not functioning), but in turn didn't close on it's own so needed a little help.
The surgeons are amazing, and are performing these procedures all of the time. The surgery took less than an hour and we could notice the difference immediately in her breathing. She has a little scar that runs from under her left arm across toward the middle of her back. It's because of this surgery, that we were able to bring our little girl home. Even though it's totally scary and no parent wants to see their children have to undergo surgery, it's a means to an end.
They're amazing little things - I can't believe how strong and resiliant our daughter was through the whole thing. She's like a new baby now.
Good luck with it all - I hope I've instilled a little bit of faith for you. (
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I really need your help on this. My two year old boy have 1.8mm patent ductus arteriosus.?
The echo comments were the echogenic line extends from near the ductal insertion towards the RPA. It does flow along the direction of the duct. This could be a shelf in the MPA.
I am thinking of making him go for the sugery even though the doc wants to wait for one year. but he said there is a risk of heart infection and the patent ductus arteriosus won't close up.
is it safe for him to go for surgery now or wait one year?
thanks alot. but the problem is that he has not been feeling well since the day he was born. he has gone through alots of infections in his tiny life. every single month, he has to go to hospital atleast more than5 times. and i am getting fed up with this. sorry.
thank you for your advice. everybody is telling me he is quite thin. He was born premature at 35 weeks. He is having two things in his heart. One is PDA and other is a heart shelf near the MPA. Recently, he was having fever for 3 weeks for unknown cause. So his doctor thought it might heart infection. to me it is way to risky to wait for one year, so i have decided to ask the doctor to go ahead with the surgery.
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Hello,
I'm sorry about your son's patent ductus. It sounds as though you understand what is going on here.... what a patent ductus is.
The translation of the echo result is, so far as I can see, "the line I can see on the echo machine screen goes from near to where the duct joins the arch of the aorta, towards the right pulmonary artery. Blood does flow along the direction the ductus takes. This could (might be, "there could") be a raised line of scar tissue in the main pulmonary artery."
In other words, IF you have copied the wording exactly correctly, it would not sound to me as if the Radiologist is committing himself/herself here 100% to it being a patent ductus arteriosus, although I am sure that your doctor has extra clinical reasons for being absolutely certain. It doesn't sound as if your son has needed a 'cardiac catheterization' test.
I don't think anyone on Yahoo 'Answers' is going to advise going against your doctor's recommendation. We are not heart specialists, (I am a retired uk gp), and we do not have access to the clinical details of your son, nor to the details of his investigation results.
It is never going to be absolutely safe for your son to go to cardiac surgery.
My copy of 'Heart Disease in Paediatrics', Jordan and Scott, 2nd edition, gives the risk of operation in infancy as 1%, (which is about the same as the risk of having your acute appendix removed), - - but my copy is the 1981 edition, and almost certainly the risk is less than 1% in 2008, - - but it is not absent.
It's a question of weighing up the risk of (closed) cardiac surgery, against the risks of complications from the patent ductus, which include heart infection (bacterial endocarditis). Jordan and Scott gave the risk of bacterial endocarditis in 1981 as 0.45% per year of risk. Presumably your son is healthy and thriving and normally active, i.e. without any symptoms of significant diversion of blood from the main aorta to the lungs?
We just can't weigh up these risks for you. If you press for surgery and it takes place, but with a bad end result, the doctor is going to say, "I told you we should have waited another year."
I hope this is of some help. This is a very technical area, which moves forward all the time.
Best wishes,
Belliger (retired uk gp)
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PS. Thanks for additional details, there is no need to be sorry. I quite understand your position if your little boy has been so repeatedly poorly. These repeated infections should probably be taken into account in the overall decision-making process.
I think a good way to go about this, might be for you to find out or ask, where your little boy's weight and height are, on a 'Centile' (pronounced Sen'' - tile) chart. If at the moment, your son is on the third centile or less for weight and height, i.e significantly failing to thrive, - - that might be reason for doing something now rather than later.
If on the other hand, your little boy's weight is on the 10th centile or above, that is a lot more reassuring.
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PPS. After thinking some more about this, I wonder whether your little boy might have been born a little prematurely? If so, the weight graph would need adjusting. B. (
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I just found out my son has patent ductus arteriosus, does anyone know anything about this, he is 5 months old
The answer above is right. In the NICU we often give babies a med (indocin) to help close this up. If after three doses it doesn't close a simple surgery is done to close it. (
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patent ductus arteriosus and patch?
Back in 1969, I had PDA surgery to close a large PDA (I have a big scar on the left side of my ribs)...I was a year old at the time. Years later, when I went to see a caridologist, the man who looked at my heart through a sonogram said he can see a white patch over where the PDA was.
What was this "white patch" called? Since I have this white patch, does this mean I have to still premed for dental work?
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You should talk to your doctor about it (
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What's the purpose of ductus venosum shutting blood away from liver to fetus's IVC?
During fetal life, umbilical vein delivers oxygenated blood from placenta to fetus. Half of this blood goes to fetus' liver. The other half is shunted by ductus venosus, to by pass liver, to go to fetus's inferior vena cava. What's the benefit of doing that? Why would you want to shunt half the blood away to send to IVC?
Many thanks. Just a simple general answer will do. Thanks again.
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it bypasses the liver as there's no need for use of the portal venous system yet as the baby uses nutrient rich blood from it's mother and isn't actually digesting nutrients itself. this system then becomes obsolete eventually and the blood had to pass through the portal venous system from the intestines to the liver delivering amino acids, monosaccharides, vitamins and minerals to the liver where they'er stored or broken down and used in the body as fuel etc.
hope that helps! (
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What medication is used to treat patent ductus arteriosis?
Indomethacin (
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What will failure of the closure of the Ductus arteriosis cause.?
Do not be panicked by this! Its hard to say as I don't know the severity but if your baby is new born then it is likely this will close itself. A small PDA (patent ductus arteriosis) may cause no symptoms, indeed I echoed a lady who was 92 with an unknown PDA with no ill effects! If it is a large PDA and doesn't close itself then a simple procedure will be performed to close it, usually through an artery using an 'umbrella' type device which seals the hole. Medication can also be give to encourage natural closure (
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ductus deferens and vesicular gland attach to urethra or prostate gland?
The ductus deferens begins at the tail of the epididymis and ascends through the inguinal canal as part of the spermatic cord. Inside the abdominal cavity, the ductus passes posteriorly, curving inferiorly along the lateral surface of the urinary bladder toward the superior and posterior margin of the prostate gland. Just before the ductus reaches the prostate gland and seminal vesicles, it's lumen enlarges. This portion is known as the ampulla of the ductus. The junction of the ampulla with the duct of the seminal vesicle marks the start of the ejaculatory duct. This short passageway penetrates the muscular wall of the prostate gland and empties into the urethra. (
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What problems result if these shunts remain open after birth?
Describe the common function of the foramen ovale and the ductus arteriosus in a fetus. What problems result if these shunts remain open after birth?
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