The initial steps of a non-surgical intervention and the results on children in Aceh, Indonesia: a report of four cases

Patent Ductus Arteriosus (PDA) is a condition of open Ductus Arteriosus after the baby is born. PDA connects the blood circulation of the aorta and the pulmonary artery, an increase in blood volume in the left heart which ends in heart failure in a child will happen. With the development of non-surgical intervention technology, this action can replace the surgical position in the management of a case so the morbidity rate of Congenital Heart Disease (CHD) can be suppressed. Several hospitals in Indonesia have routinely taken this action; Aceh has only just begun in 2017. Non-surgical intervention has been reported in four (4) children with PDA. Evaluation after one (1) year of action shows an increase in the child's weight or a change on the nutritional status towards normal. This action is very effective and gives satisfying results. After a financing agreement with the health guarantor (BPJS), this action becomes the first choice for the management of children with PDA at our hospital (Dr. Zainoel Abidin Hospital, Banda Aceh).