Is an 8mm patent ductus arteriosus severe?

Written by Di Zhi Yong

Cardiology

Updated on December 18, 2024

00:00

00:00

Since patent ductus arteriosus is a congenital heart disease, it is recommended that patients have regular echocardiographic re-examinations. For the majority, this condition can close on its own. However, if it does not close, surgical treatment is necessary.

Currently, the patient's patent ductus arteriosus has reached about 8 millimeters, which is quite severe. It is advised to seek early surgical treatment at a hospital to alleviate the symptoms. Presently, there are no medications available to treat this disease, and surgical treatment is the primary approach. Early surgical intervention at a hospital is advisable.

Other Voices

home-news-image

Written by Di Zhi Yong

Cardiology

43sec

home-news-image

Is it easy to get pneumonia if the arterial duct is not closed?

Because patent ductus arteriosus is a type of congenital disease, particularly congenital heart disease, it is recommended that patients visit a hospital for a cardiac ultrasound. This can help clarify the diagnosis and thus determine the treatment plan. A simple patent ductus arteriosus can sometimes close on its own. For those that do not close or are underdeveloped, surgical treatment can be used to alleviate the current condition. This is important because the disease can easily lead to pneumonia, especially recurrent respiratory infections. Sometimes, there may be developmental anomalies, particularly affecting the growth and changes in the child's height and weight. In these cases, early surgical treatment is still recommended.

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.

home-news-image

Written by Di Zhi Yong

Cardiology

46sec

home-news-image

Which is more serious, patent ductus arteriosus or ventricular septal defect?

Both of these diseases are types of congenital heart disease, and if there are issues with either of them, the situation can be quite severe. There isn't a distinction between which disease is severe and which is not. If the arterial duct remains open or does not close, surgery is still required for this condition. Patients with ventricular septal defect primarily display changes related to ischemia and hypoxia, and they may also experience recurrent respiratory infections, which are quite serious. Surgery is generally the best treatment. Early surgical intervention can achieve a complete cure, but it is also advisable for the patient to have regular echocardiographic check-ups at the hospital.

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 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.