PDA or Patent Ductus Arteriosus is a very common congenital heart disease seen in babies. A newborn baby has Ductus Arteriosus. Now, a common question what is Ductus Arteriosus? It is a hold or an opening that allows the infant blood to skip circulation to the lungs. After birth, the hole remains of no use and therefore it narrows down and closes gradually. The failure of this closure is what is termed as PDA. The bigger the size of PDA, the higher is the infant at risk of heart failures, bacterial infection and other health problems.
There are many reasons that cause PDA:-
In India, the PDA closure surgery cost ranges from USD4200 to USD5000.
Although the success rate of this surgery is high however there are still chances of its failures.
Patients may suffer through headaches, fever, infections or even allergic reactions to nickel.
PDA can be detected by ECG, chest x-ray, Doppler study.
Although there are certain complications that the patient has to face during the surgery, however, due to high success rate, and low maintenance costs after the surgery that includes medicines etc, this surgery is quite helpful for the long run for the infants.
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.
USD 4000 is the starting cost of PDA Closure Surgery in India. Many multispeciality hospitals in India that are NABH, JCI certified are approved and most sought after for treating international patients with PDA Closure
The cost of PDA Closure in India may differ from one medical facility to the other. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The PDA Closure cost in India 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 India.
PDA Closure in India is offered by multiple hospitals across the country. Some of the best hospitals for PDA Closure in India include the following:
Upon discharge from the hospital after PDA Closure in India, the patients are advised to stay for about 18 days for recovery. This time frame is important to ensure that the surgery was successful and the patient is fit to fly back.
India is considered to be one of the best places for PDA Closure in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. However, there are other countries as mentioned below that are popular for PDA Closure as well:
Apart from the cost of PDA Closure, the patient is also required to pay additionally for daily meals and guest house accommodation. The extra charges may start from USD 50 per person.
Some of the cpopular cities in India that offer PDA Closure include the following:
There are several doctors who are available for telemedicine consultation for patients requiring PDA Closure in India. The following are some of the best doctors for PDA Closure in India who are available for video consultation:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Bikram K Mohanty||USD 35||Schedule Now|
|Dr. Ashish Chauhan||USD 14||Schedule Now|
|Dr. Sumit Narang||USD 14||Schedule Now|
The average duration of stay at the hospital after PDA Closure is about 3 days for proper care and monitoring. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.
The average rating for PDA Closure hospitals in India is 3.9. This rating is calculated on the basis of different parameters such as attitude of the nurses, cleanliness, quality of food and the pricing policy.
There are more than 53 hospitals that offer PDA Closure in India. Such hospitals have the required infrastructure and a dedicated unit where patients can be treated. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.
There are two major healthcare accreditation standards followed by healthcare providers in India. The first one is National Accreditation Board for Hospitals & Healthcare Providers has been recognised as one of these standards. Accreditation Board for Hospitals & Healthcare Providers (NABH). NABH is the best benchmark for the quality of hospitals in India. Joint Commission International, a not for profit organization giving certification to numerous healthcare institutions in India and abroad is the other standard.
The best multispecialty hospitals offering world-class medical treatment at affordable cost are in India. All kinds of surgeries are offered at these multispecialty hospitals. The hospitals are providing the general medical needs with the specialties. We list here some of the best multispecialty hospitals in India:
A large number of medical tourists visit India every year due to low-cost treatment and modern infrastructure. Indian hospitals adhere to international health standards and use high end technologies that are at par with the western world. India has a large pool of highly professional, competent, and qualified doctors who are known for providing treatment with high precision and accuracy. Ease of travel, ease of communication, alternative treatment availability and visa assistance are the important factors that make India one of the most favored destinations for medical tourism.
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Once you have decided that you wish to come to India for medical purposes, documents come into the picture. The documents are of different kinds such as travel related, treatment related and finances. The documents needed for your medical treatment in India are as follows:
There are so many different popular procedures that are being performed on a regular basis in India such as the ones listed below:
The popular procedures performed in India are upgraded regularly with the increasing advancements in the medical and surgical fields. The good quality of doctors who are providing treatment and performing surgeries at economical prices has led to the growth in procedures like heart surgeries, orthopaedic procedures, organ transplants and in treatment of cancer in India. A strength that aids the growth in the number of popular procedures available in India is the abundance of good hospitals and healthcare facilities.
Vaccinations and up-to-date immunizations are important for any international travel. It is essential for medical travellers coming to India as well to get protection from different diseases. Please remain updated with the travel advisory issued by the Government of India or remain in touch with the hospital in India to get complete information on vaccination guidelines. Rabies, DPT, Measles, Yellow fever, Japanese encephalitis, Typhoid fever, Covid, Hepatitis A & B are all recommended vaccinations that you need to take before coming to India.
Indian hospitals are well equipped to give International patients the safety and comfort that they need during their India stay. Any kind of travel, stay and treatment related assistance for medical tourists coming to India is provided by international patient care centers present in hospitals here. Your needs and requirements as a medical traveller in India are met by the hospitals by going the extra mile. The medical travellers coming to India are made to feel home with facilities like room reservation, visa and embassy assistance, hotel services and apartment bookings, language interpretation services, tele-consults and pre departure evaluation.
Mumbai, Delhi, Kolkata, Bengaluru and Hyderabad are the leading medical tourism destinations in India. India is most definitely a medical tourism hub owing to its excellent medical services. The exceptional patient care and treatment plans, seamless availability of medical visas have made India a premier medical tourism destination. The medical tourism sector in India is on a growth spree reflected well in the various medical tourism destinations, being promoted well by the Government of India in tandem with various private players in the healthcare sector.
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