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Grown-up Congenital Heart Disease (GUCH): Difference between revisions
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Grown-up Congenital Heart Disease (GUCH) (view source)
Revision as of 14:20, 25 January 2012
, 25 January 2012→Treatment and outcome
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=== Treatment and outcome === | === Treatment and outcome === | ||
Patients with an open PDA have an increased risk of infectious endarteritis, heart failure, pulmonary hypertension and most of these patients become symptomatic in adulthood. Patients with a non-restrictive PDA rarely reach adulthood, unless the pulmonary vascular resistance increases leading to a decrease in left ventricular overload. This hemodynamic state is known as Eisenmenger syndrome in which the shunt is reversed and there is cyanosis present. Patients in who the ductus is closed in childhood have a normal life expectancy. | Patients with an open PDA have an increased risk of infectious endarteritis, heart failure, pulmonary hypertension and most of these patients become symptomatic in adulthood. Patients with a non-restrictive PDA rarely reach adulthood, unless the pulmonary vascular resistance increases leading to a decrease in left ventricular overload. This hemodynamic state is known as Eisenmenger syndrome in which the shunt is reversed and there is cyanosis present. Patients in who the ductus is closed in childhood have a normal life expectancy. | ||
[[File:7. PDA.png|thumb|right|Figure 7. Echocardiographic image showing a coil in the ductus arteriosus. P=pulmonary artery, A= aorta.]] | |||
In patients with a PDA, the primary management decision is whether to actively close the PDA, or to conservatively observe and monitor the patient's cardiac status on a regular basis. | In patients with a PDA, the primary management decision is whether to actively close the PDA, or to conservatively observe and monitor the patient's cardiac status on a regular basis. | ||