What to do about arterial ductus arteriosus in newborns

Neonatal PDA (patent ductus arteriosus) requires surgical treatment regardless of age, and surgery can be delayed until the child is about two years of age.Treatment of PDA includes acute phase treatment, pharmacologic treatment, surgical treatment, and other treatments. 1. Acute phase treatment. If there is dyspnea and shortness of breath, mechanical ventilation should be carried out promptly. 2. Pharmacological treatment: When PDA shunt is large, it can lead to cardiomegaly, idiopathic dyspnea and heart failure, in addition to active anti-heart failure treatment, indomethacin can be tried to treat arterial catheterization. 3. Surgical treatment: For PDA combined with infected endarteritis, surgical treatment can be performed 3 months after infection control. If the infection cannot be controlled, surgical ligation or arteriotomy can be performed followed by antibiotics, which is also a treatment for infected arteritis. 4. Interventional therapy. Indications are absence of comorbidities requiring surgical treatment, narrowest diameter of PDA ≥2.0 mm, age ≥6 months, and weight ≥4 kg. The treatment of PDA is affected by the severity of the disease, treatment time, treatment program, individual constitution and other factors, etc. PDA should be found in a timely manner, and be treated under the guidance of a doctor.