Patent Ductus Arteriosus Ligation In Children

What you should know

Patent ductus arteriosus (PDA) ligation is surgery to close the opening between your child's aorta and pulmonary artery.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

Risks

Your child may bleed more than expected or get an infection. Your child's vocal cords may become paralyzed. Your child may get a pneumothorax. This happens when air gets inside the space between his lungs and chest wall. This may be life-threatening. Without surgery, your child's symptoms may get worse. The pressure in his lungs may increase. He may develop serious health problems, such as a heart infection or congestive heart failure. These health problems can be life-threatening.

Getting Ready

The week before your child's surgery:

  • Write down the date, time, and location of your child's surgery.

  • Your child may need blood tests before the surgery. Talk to your caregiver about these or other tests he may need. Write down the date, time, and location for each test.

  • Ask your child's caregiver if your child needs to stop using any of his medicines before his surgery.

  • Your child's caregiver may prescribe antibiotics to give to your child before surgery.

  • When you take your child to see his caregiver, bring a list of his medicines or the medicine bottles. Tell caregivers if your child uses herbs, food supplements, or over-the-counter medicine. If your child is allergic to any medicine, tell his caregiver.

The night before your child's surgery:

Ask caregivers about directions for eating and drinking.

The day of your child's surgery:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery on your child. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Ask your child's caregiver before you give your child any medicine on the day of surgery. These medicines include insulin or heart pills. Bring a list of your child's medicines or the pill bottles with you to the hospital.

  • An anesthesiologist will talk to you and your child before the surgery. Your child may need medicine to keep him asleep or numb an area of his body during surgery. Tell caregivers if anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

An incision is made between 2 ribs on the left side of your child's chest. Stitches or metal clips are used to close the PDA. The incision in your child's chest is closed with wire and stitches or staples.

After your child's surgery:

Your child will be taken to a room to rest until he is fully awake. Do not let your child get out of bed until caregivers say it is okay. When caregivers see that he is okay, he will be taken to his room.

Contact a caregiver if

  • Your child cannot make it to his surgery.

  • Your child has a fever.

  • Your child has a cold or the flu.

  • You have questions or concerns about your child's surgery.

Seek Care Immediately if

  • The problems for which your child is having the surgery get worse.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Patent Ductus Arteriosus Ligation In Children (Precare)

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