Can you have children if you have a patent ductus arteriosus?

Written by Xie Zhi Hong

Cardiology

Updated on September 04, 2024

00:00

00:00

The ductus arteriosus refers to a channel in the fetus that, before birth, allows blood from the maternal placenta to enter the fetus's aorta through the ductus arteriosus and then circulates the blood throughout the body. This channel closes after birth, and in the vast majority of people, it closes within a year. If it remains open until reproductive age, surgery is required because an open ductus arteriosus can lead to deteriorating heart function and, in severe cases, can cause heart failure. Therefore, women with an open ductus arteriosus can have children after treatment. An open ductus arteriosus is not a hereditary disease, and regardless of whether it is present in males or females, it is not genetic and they can have children.

Other Voices

home-news-image

Written by Chen Tian Hua

Cardiology

47sec

home-news-image

Does patent ductus arteriosus affect appetite?

When patent ductus arteriosus (PDA) progresses to a certain extent, it can affect appetite. If the patent ductus arteriosus causes pulmonary arterial hypertension, leading to right heart failure, it results in congestion of the gastrointestinal tract and the liver. This significantly impacts the digestive and absorption functions of the gastrointestinal tract, causing reduced appetite in the patient. Some patients may also experience nausea, vomiting, and abdominal distension. For patients with patent ductus arteriosus, if there are indications for surgery, timely surgical treatment should be carried out to correct the anatomical abnormalities and prevent the progressive worsening of the patent ductus arteriosus, which could lead to adverse outcomes.

home-news-image

Written by Di Zhi Yong

Cardiology

39sec

home-news-image

Is a 5mm patent ductus arteriosus serious?

Patent ductus arteriosus is a type of congenital heart defect. Typically, the ductus arteriosus is expected to close on its own, but if it remains open over time and is larger than about five centimeters, it is crucial to seek surgical treatment at a hospital promptly. Currently, there are no particularly effective medications to improve this condition since it is a congenital heart disease. Early surgical intervention is recommended. This condition is considered serious, and during this period, it is important to actively prevent upper respiratory infections, as they can repeatedly lead to pulmonary inflammation.

home-news-image

Written by Fan Yan Fu

Cardiology

1min 4sec

home-news-image

Does patent ductus arteriosus require open chest surgery?

Now, many cases of patent ductus arteriosus do not require open-chest surgery, as they can be treated minimally invasively by cardiologists through what is called interventional treatment. The ductus arteriosus is actually a vessel between the aorta and the pulmonary artery during the embryonic stage, which usually closes shortly after birth. If it does not close, it results in a congenital heart disease. In the past, before the widespread use of interventional treatments, open-chest surgery was required to ligate the vessel. With the broad implementation of interventional treatments, cardiologists can now treat this condition minimally invasively. This is mainly done by delivering a spring coil through a catheter to the ductus arteriosus which then blocks the vessel, allowing it to gradually close and thus achieve the therapeutic goal. Alternatively, a gelatin sponge can be delivered to the ductus arteriosus through a catheter to block and eventually close the vessel, achieving the desired treatment outcome.

home-news-image

Written by Tang Li

Cardiology

1min 46sec

home-news-image

What are the symptoms of patent ductus arteriosus?

Patients with patent ductus arteriosus may exhibit several clinical manifestations based on the amount of shunting. 1. Small shunt volume: The internal diameter of the patent ductus arteriosus is small, and the patient may exhibit no subjective symptoms. The prominent sign is a continuous machinery murmur heard at the left sternal border at the second intercostal space and below the left clavicle, accompanied by a thrill; pulse pressure may slightly increase. 2. Moderate shunt: Patients commonly experience fatigue, palpitations, shortness of breath, and chest discomfort after exertion. The heart murmur is similar in character to the above but louder, accompanied by a thrill, and widely transmitted. At times, diastolic and mild systolic murmurs caused by left ventricular enlargement, relative mitral valve insufficiency, and stenosis can be heard at the apex, with a positive vascular sign. 3. Large shunt volume: This condition in a patent ductus arteriosus often accompanies secondary severe pulmonary hypertension, leading to a right-to-left shunt. The typical murmur's diastolic component may diminish or disappear, followed by the disappearance of the systolic murmur, and only a diastolic murmur due to pulmonic valve insufficiency can be heard. Patients often exhibit cyanosis and severe clinical symptoms.

home-news-image

Written by Xie Zhi Hong

Cardiology

39sec

home-news-image

Can a patent ductus arteriosus be treated with minimally invasive surgery?

Patent ductus arteriosus refers to the condition in infants where the ductal connection between the pulmonary artery and the aortic arch from the embryonic period remains open after the first year of birth. Generally, this duct is tubular or funnel-shaped and most cases can be treated minimally invasively. Surgical treatment is considered only if there are severe adhesions involving the aorta or pulmonary artery, or there are developmental issues. Therefore, patent ductus arteriosus can be treated with minimally invasive surgery, and most cases are amenable to such treatment.