Keywords
Ductus arteriosus closure
Echocardiography
Submitted : 2023-12-30
Accepted : 2024-01-14
Published : 2024-01-29
Abstract
Objective: To explore and analyze the clinical value of echocardiography screening and dynamic observation for ductus arteriosus closure in newborns. Methods: The study was conducted from August 2022 to December 2023. 500 newborns who were admitted to our hospital were selected as research subjects for this study (Kunming Tongren Hospital). All subjects underwent echocardiography to determine the severity of patent ductus arteriosus (PDA). The inner diameter of the pulmonary artery was measured, and the pulmonary artery pressure was estimated through tricuspid regurgitation. If the patient had high pulmonary artery pressure, elective closure surgery was performed. Results: Among the 500 subjects, 448 cases of ductus arteriosus closure and 52 cases of PDA were detected by echocardiography, including 23 cases of simple PDA, 15 cases with patent foramen ovale, 11 cases with atrial septal defect, 1 case with muscular ventricular septal defect, 1 case with tricuspid valve prolapse, and 1 case with tricuspid valve chordae tendineae rupture. After symptomatic treatment and intervention, their echocardiogram results were reviewed and no abnormalities were found. All measurement results of children with PDA combined with pulmonary hypertension were better than before treatment (P < 0.05). Conclusion: Echocardiography is a fast, accurate, and reliable non-invasive imaging examination technology. It can significantly improve congenital heart disease detection rate in infants and young children. Early intervention based on the examination results can dramatically improve the quality of life of infants and young children with PDA.
References
Shu Y, Guo Y, Wang T, et al., 2019, Interventional Treatment of 28 Cases of Infants with Unclosed Ductus Arteriosus and Moderate-Severe Pulmonary Hypertension. Guangdong Medicine, 40(4): 531–534.
Shi H, Ding H, Luo W, et al., 2016, Application and Promotion of Combined Ultrasound Screening of Infants and Young Children in Promoting Healthy Development of Children. Electronic Journal of Clinical Medical Literature, 3(47): 9317–9318.
Wan J, Yang G, Jiang L, 2022, Diagnostic Value of Dual-Source CTA Combined with Echocardiography for Aortic Arch Disconnection in Infants and Young Children. Journal of Zunyi Medical University, 45(6): 771–774.
Zhan Z, Guo W, 2021, Clinical Value of Echocardiography in Evaluating Natural Closure of the Arterial Ductus in Newborns. Chinese Medical Innovation, 18(23): 147–151.
Li T, Han J, Han Y, et al., 2021, Hemodynamic Analysis of Fetal Premature Contraction or Closure of the Ductus Arteriosus Using Conventional Fetal Echocardiography Combined with Fetal Heart Quantification Technology. Chinese Journal of Ultrasound Imaging, 30(3): 213–218.
Liu Q, Liu D, Li X, et al., 2021, Echocardiographic Characteristics and Prognosis Analysis of Premature Contraction or Closure of the Fetal Arterial Ductus in Late Pregnancy. Journal of Naval Medicine, 42(6): 771–773.
Kang Y, Zhang Y, Peng H, et al., 2011, Clinical Application Value of Echocardiography in Diagnosing Unclosed Ductus Arteriosus and Severe Pulmonary Hypertension. Western Medicine, 23(10): 1969–1970.
Zhao S, 2016, Clinical Application Value of Echocardiography in Diagnosing Patent Ductus Arteriosus and Severe Pulmonary Hypertension. China Continuing Medical Education, 8(5): 41–42 + 43.
Han J, Liu X, Gu X, et al., 2018, Ultrasound Diagnosis and Pregnancy Outcome of Complete Fetal Ductus Arteriosus. Chinese Journal of Ultrasound Imaging, 27(8): 683–687.
Yin H, Zhao G, Mao W, et al., 2019, Follow-Up Study of Echocardiography in Patients with Unclosed Ductus Arteriosus and Severe Pulmonary Hypertension After Interventional Treatment. Journal of Plateau Medicine, 29(2): 53–55.
Shi X, Qin Y, Huang G, et al., 2017, Study on the Natural Closure Time of the Ductus Arteriosus in Premature Infants of Different Gestational Ages. Chinese Journal of Practical Pediatrics, 32(13): 1030–1031.
Wang Z, Jin M, Wang X, et al., 2020, Study on Interventional Treatment and Follow-Up of Adults with Unclosed Ductus Arteriosus and Severe Pulmonary Hypertension. Journal of Cardiopulmonary and Vascular Diseases, 39(1): 19–22 + 27.
Xiao J, Wang Q, Zhang D, et al., 2018, Observation on the Efficacy of Interventional Occlusion Combined with Electroconversion Therapy for Patients With Unclosed Arterial Ductus and Persistent Atrial Fibrillation. Journal of Clinical Military Medicine, 46(10): 1192–1195 + 1197.
Li T, Han J, Sun L, et al., 2022, The Value of Fetal Heart Quantitative Technology in Assessing Fetal Heart Morphology and Function with Contraction or Closure of the Ductus Arteriosus. Chinese Journal of Medical Ultrasound (Electronic Edition), 19(9): 941–949.
Meng X, Tan W, Liu L, et al., 2015, Emergency Interventional Occlusion of Unclosed Ductus Arteriosus in Infants with Pulmonary Infection and Heart Failure. Journal of Medical Research, 44(1): 116–119.