Patent ductus arteriosus (PDA) is a heart disorder first diagnosed or observed during the first few weeks or months of the surgery. This condition is characterized by the persistence of a normal fetal connection between the pulmonary artery and the aorta, which may allow the flow of some of the oxygenated blood back to the lungs instead of the body.
This connection is naturally present in the fetus during pregnancy. It is, in fact, present at the time of birth as well But it closes off on its own within a few days.
During pregnancy, all of the oxygen demand of the fetus is met through the placenta. Therefore, there is no need for the blood to go through the lungs for oxygenation. However, a connection is necessary to let oxygenated blood bypass the lungs of the fetus and reach the body. This connection is known as ductus arteriosus (DA).
As soon as the baby is born, the lungs take over the functioning of the connection and start purifying the blood. The problem arises when the connection does not close on its own within a few days after the birth. This condition is known as PDA.
The exact reason why DA remains open (patent) is some infants is still unknown. However, girls are twice as likely to suffer from PDA as boys. Additionally, PDA may occur in combination with other heart defects as well.
PDA, if left untreated, may lead to a number of complications. Because of the flow of oxygenated blood from the aorta to the pulmonary artery and the mixing of blood, the vessels of the lungs have to handle a large amount of blood. The larger the volume of blood that enters the pulmonary artery, the greater they have to cope with the increased pressure. This may lead to long-term damage to the lungs.
PDA may cause no symptoms at all in some children. However, the following are some of the symptoms experienced by a majority of children with PDA:
PDA closure is performed under the influence of general anaesthetic (GA) using the heart catheterization procedure. During the closure, the surgeon places a closure device into the catheter.
A typical PDA closure device is made up of mesh and metal material. It is a short tube with discs of different sizes in both its ends. The device is folder before its insertion into the catheter. The device is moved out of the catheter upon reaching the right place. One of the appropriate discs opens up when the device is moved out of the catheter. It’s acts like a plug and seals off the PDA, stopping the flow of oxygenated blood to the pulmonary artery.
The catheter is usually inserted into a blood vessel in the groin region. The catheter is gently moved up to reach the site of PDA. The closure device is threaded through to reach the PDA site and is placed in the targeted position. Once the device is in place, the catheter is withdrawn and the site of catheter insertion is bandaged.
The procedure takes anywhere from one to three hours to complete. As soon as the procedure is over, the child is transferred to the recovery room and is kept there as long as the effect of the GA fades off. Most of the children are discharged on the same day as that of PDA closure procedure. However, they will be required to stay in the hospital for at least four to six hours after the surgery.
Some children, however, will be required to stay in the hospital overnight. They are transferred to the inpatient unit after the effect of the GA is over. A chest X-ray is conducted the next day in the case of all patients to check the position of the closure device. Children who are discharged on the same day of the procedure must be brought to the hospital again in the next morning for the X-ray.
The surgeon may prescribe a few antibiotics after the surgery to prevent heart infection known as infectious endocarditis. It is common for premature infants or infants with larger PDA to become tired feeding. Therefore, care must be taken to high-calorie formula or breast milk to them for normal growth and development.
PDA Closure package cost in Greece has different inclusions and exclusions. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The PDA Closure cost in Greece includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Post-surgical complications, new findings and delayed recovery may have an impact on the total PDA Closure cost in Greece.
After discharge from the hospital, the patient has to stay for another 18 days in the country for complete recovery. This time frame is important to ensure that the surgery was successful and the patient is fit to fly back.
Apart from the PDA Closure cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. The extra charges may start from USD 50 per person.
The following are some of the best cities for PDA Closure in Greece:
The patient has to spend about 3 days in the hospital after PDA Closure for proper recovery and to get clearance for discharge. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.
There are more than 3 hospitals that offer PDA Closure in Greece. These hospitals have propoer infrastructure as well as offer good quality of services when it comes to PDA Closure These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Greece
Greece is flocked with some of the finest hospitals in the world, such as:
Greece has world-class hospitals that strictly follow international health standards and are backed by internationally accredited physicians. Majority of popular hospitals are located in cities like Corfu, Peloponnese, Crete, Thessaloniki, Alexandroupolis, Kalamata, and Athens.
Medical facilities in Greece receive accreditation from Joint Commission International (JCI). The healthcare standards are developed after consultation with global healthcare experts and providers, and patients. In order to get accreditation, the hospitals need to meet all the criteria set by JCI. And the accredited hospitals and clinics have to follow international standards. The standards help set a quality benchmark for healthcare systems to ensure quality treatment.
Greece’s high concentration of excellent doctors and top-notch hospitals has made it a popular destination for international patients seeking the best care at competitive prices. The country is very popular throughout Europe and the United States for its world-class medical services. The country’s medical facilities comply with the international healthcare standards to ensure the quality of treatment. Greece is a safe travel destination and the beauty of the country’s landscape, along with its wealth of plenty sunshine, therapeutic natural springs, and unique Mediterranean cuisine make the country a perfect tourist destination. There are other factors that help make Greece one of the top medical tourism destinations in the world, including technology-based medical care, highly trained and professional medical professionals, and world-class private healthcare services.
Greece produces high-quality specialist doctors. According to a report, about 95 percent of doctors in the country are specialists. Around 95 percent of doctors in Greece are specialists and are not restricted to only general medicine. Also, the majority of the doctors have received training in different countries and capable of handling even the most complex cases with quite an ease. The doctors need to undergo a minimum of 80 hours of training every five years. There are strict government regulations that doctors must follow to ensure the quality of treatment and complete safety of patients. Doctors in Greece are also known for their landmark achievements, such as adopting a novel surgical approach to complex penile urethra stenosis, performing free-of-charge cardiothoracic surgery, and doing the first live-streamed global interactive rhinology and endoscopic skull base surgery.
Depending on the length of stay in Greece, a person can apply for either of the below two types of visa:
A Schengen Visa allows you to reside in Greece for 90 days within a period of six months. Here is the list of important documents that you will require when applying for a medical visa:
Greece embassy reviews the submitted documents and will make a decision on granting a medical visa.
Greece has received worldwide recognition for reporting high success rates in the following procedures:
Greece is also known for offering the best renal dialysis at an affordable price. There are several dialysis centers equipped with all modern facilities. Plastic surgery is gaining huge popularity in Greece with the latest innovations in this field. Around 300,000 cosmetic procedures were recorded annually. Greece is a very popular country for IVF treatment and there are at least 50 IVF clinics in the country. People travel from overseas for egg donation and embryo donation.
The cities in Greece which have received worldwide recognition for medical tourism are: 1. Athens 2. Kalamata 3. Peloponnese 4. Alexandropoulos 5. Thessaloniki 6. Corfu 7. Athens
Athens is known for high-standard medical services in various specialty areas, such as gynecology and obstetrics, cosmetic surgery, orthopedics, and rehabilitation. Santorini, a beautiful island, offers medical tourists a breathtaking view and provides them relaxation, rejuvenation, and wellness, which are needed for a speedy recovery. State-of-art hospitals, transportation facilities, affordable accommodation, a wide variety of food options, and language assistance are some other reasons why these cities are top-ranked medical tourist destinations.
Vaccination is compulsory before traveling to Greece. The CDC and WHO recommend the following vaccines:
Some parts of Europe are affected by periodic outbreaks of routine diseases, hence it becomes essential for a traveler to get immunized. It is important to check with your doctor regarding your individual needs for medical travel and seek advice based on your current medical conditions and past vaccination history. You should also keep yourself updated with a travel advisory issued by the government or contact your hospital in Greece for complete information on vaccination guidelines.
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