Kellisa's first surgery: Patent Ductus Arteriosus Ligation
Chicago, IL
Kellisa was born with
Patent Ductus Arteriosus (PDA), a congenital disorder in the heart. PDA is
common in premature babies with an undeveloped heart and lungs. Left untreated,
it could eventually lead to congestive heart failure.
In a healthy birth, the
ductus arteriosus closes shortly after birth, preventing irregular transmission
of blood between the aorta and the pulmonary artery. The PDA closes as the baby
breaths oxygen into the lungs which produces sufficient levels of brandykinin.
Hypoxic preemies take in too little oxygen preventing sufficient brandykinin to
be produced and the ductus arteriosus remains open (patent).
With a PDA, some of the
oxygenated blood from the left side of the heart flows back into the lungs from
the aorta to the pulmonary artery. This will lead to a shortness of breath and
the lungs fill with additional fluid creating an increase in lung pressure.
This increased pressure will make it difficult for the baby to inflate the
lungs.
Kellisa already had
underdeveloped lungs and was immediately placed on a respirator following her
birth. A PDA is considered congestive heart failure. A course of indomethacin,
a special form of ibuprofen, is the preferred method of treating a PDA in a
preemie. Kellisa had two courses of indomethacin without success.
The last option for
Kellisa was surgery. Cardiologists would go in through the Kellisa’s back to
her heart and surgically close the arteriosus. This would be Kellisa’s first
surgery. Kellisa was 3 ½ weeks old when she had the successful PDA ligation.
Little did we know at the time that this would be the first of many surgeries.
This is the first picture we have showing Kellisa's scar from her PDA surgery, about two weeks after the surgery.
Dr itua healing herbs.
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