Newborns often "forget to breathe"? A big problem with a small heart

Open ductus arteriosus is one of the more common types of congenital heart disease.

In 2019, at the end of August just born little Pearl (nicknamed), born in Hualien Tzu Chi Hospital, was found to have a heart murmur by the physician, subsequent examination turned out to be a problem with the heart blood vessels, suffered from open arterial ducts, by the Hualien Tzu Chi Hospital pediatric department director Zhang Yuhsun consultation with pediatric cardiology Dr. Qiu Pinjun, arrangements for the cardiac catheter embolization, the prognosis of the situation is good, September 26th birth!

Newborns "forget to breathe" with congenital heart problems

The baby was born with a birth weight of 2,965 grams, and soon after the birth, the medical staff found that the baby sometimes "forgets to breathe", and that after breathing training, he still had problems breathing. Little Pearl's mother said, originally expected three days after the natural birth of the daughter to be discharged together, but Little Pearl suddenly appeared bloody stool symptoms, followed by weight all the way down, through the physician to solve the symptoms of gastrointestinal infections, found that there is still a heart murmur of the problem. The newest addition to the list is the newest addition to the list, the newest addition to the list, the newest addition to the list, the newest addition to the list.

Arterial Duct Embolism

Open ductus arteriosus is one of the more common forms of congenital heart disease. Dr. Qiu Pinjun said that babies in the mother's body (fetal period) using the body circulation, its aorta and the pulmonary artery between a connected blood vessel called the arterial conduit, in the first 2 to 3 days of life will be functional atresia, began the pulmonary circulation.

About 90% of newborns undergo structural atresia within 2 weeks of birth. If it is not closed, some of the higher-pressure blood from the aorta flows into the pulmonary artery and joins the pulmonary circulation, causing pulmonary congestion, which is known as patent ductus arteriosus, and occurs at a rate of 1 in 2,000, accounting for about 10% of congenital heart disease.

Traditional surgical treatment is time-consuming and more difficult for newborns

Open ductus arteriosus is currently about 95% treated with traditional surgical procedures, but the surgery takes about 2 hours, and the postoperative wound recovery period is longer, and scars are left behind. Considering the fragility of the newborn's heart and its light weight, in order to avoid the risks associated with open surgery, pediatric cardiologists Dr. Jiu Pin-Kuan and Dr. Liu Yu-Hsuan decided to perform the cardiac catheterization procedure from a "vein" in the groin. In order to complete the neonatal cardiac catheterization, not only did the cardiac catheterization team have to be mobilized, but the anesthesia team of Hualien Mercy Hospital also came to the cardiac catheterization room to provide anesthesia for the children.

"Try not to let her cry to avoid increasing the burden on the heart." The director of the pediatric department of Hualien Mercy Hospital, Zhang Yu-hsun, said that open arterial catheterization of babies to take care of very carefully, at any time to pay attention to the soothing, and the newborn's blood vessel thickness of about only 0.1 to 0.2 centimeters, to be put into the smaller obstruction, the completion of the cardiac catheterization surgery is very high difficulty.

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