Pediatric Heart Expert Forum
large pda
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Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

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large pda

Sir/madam,

my daughter had  large PDA and we had already been closed  through device but till date she is still swating after some runing or some playing, before operation same symptoms are there, now after opertion she is better , but some time she shows above symptoms,
for your refernce
date of birth 14-11-2003
date of operated 19-08-2006
now she is seven year old
kindly tell me whether she wil be ok or she will take more time to recover



thanks ravi
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A patent ductus arteriosus (PDA) is a blood vessel connecting the pulmonary artery and the aorta in fetal life.  At birth, all babies have a PDA, and in 99% of cases, the PDA naturally closes with time.  If a PDA remains open, it is usally small and not associated with clinical symptoms.  However, a large PDA can cause heart enlargement and elevation of the blood pressure in the lungs, if it is present for long periods of time, usually years. It sounds like your daughter had a PDA "device" to occlude the vessel when she was 2 1/2 years old.  This is a common appraoch to closing moderate sized PDAs.  It can also be a successful way of dealing with a large PDA.  However, if your daughter had a large PDA and high lung artery pressure for 2 years, there is the possibility that she has some permanent elevation in her lung artery pressure called pulmonary hypertension.  On the other hand, she could have something simple like exercise induced asthma.  Both of these lung issues can lead to signs of exercise intolerance.  Sweating after exercise is a very non-specific symptom and may not signify any true abnormality.  If you have concerns about your daughter's exercise performance now at the age of 6 years, you should contact the cardiologists who made arrangements for her PDA device closure and ask them to see her agian.
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