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.
Different hospitals have different pricing policy when it comes to the cost of PDA Closure in Israel. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. Typically, the package cost of PDA Closure in Israel includes the expenses related to the surgeon's fee, anesthesia, hospital, meals, nursing and ICU stay. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the PDA Closure cost in Israel.
There are many hospitals that perform PDA Closure in Israel. For quick reference, the following are some of the leading hospitals for PDA Closure in Israel:
After PDA Closure in Israel, the patient is supposed to stay in guest house for another 18 days. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.
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.
There are many cities that offer PDA Closure in Israel, including the following:
After PDA Closure, the patient is supposed to stay for about 3 days in the hospital for recovery and monitoring. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.
There are more than 4 hospitals that offer PDA Closure in Israel. The above mentioned clinics have the required infrastructure and a dedicated unit where patients can be treated. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.
The Joint Commission International (JCI) is the main healthcare accrediting body in Israel. JCI is a non-profit organization that sets global standards for healthcare systems across the globe. Hospitals in Israel are committed to adhering to international healthcare standards and medical protocols in order to ensure quality treatment and complete patient safety. The standards help set a quality benchmark for healthcare systems to ensure quality treatment.
Israel is one of the top destinations for medical tourism and has the best multispecialty hospitals in the world, such as:
Equipped with state-of-art infrastructure, these hospitals can do different kinds of surgeries and they have several specialties. The hospitals in Israel have highly experienced and well-trained doctors who are able to handle even the most complicated cases. The hospitals provide the best possible treatments at an affordable cost.
Israel is a leading destination for medical tourism which attracts thousands of medical tourists every year. Israel is a well-acclaimed destination for medical tourists who receive world class treatment. Medical tourists from various parts of the world, such as the United States, and Nigeria, Russia, Ukraine, Cyprus, Kazakhstan, Georgia, Bulgaria, Romania, Hungary, visit Israel every year. Several other factors contribute to the popularity of Israel in medical tourism, including the best medical infrastructure, highly qualified doctors, cheap accommodation, transportation facilities, and a wide range of food choices.
Most of the doctors in Israel are board-certified who ensure that they provide top-quality care to their patients. The highly qualified doctors in Israel have deep subject knowledge and their skill set and area of expertise are very vast. The highly qualified doctors have received education at premier educational institutions where they have rigorous training. Israel boasts of having high-quality doctors of internal standards and many of them have experience of working in various countries.
You should carry documents like doctor referral notes, passport copies, medical History, test reports, records, residence/ driver’s license/ bank statement/ details of Health insurance. It is important to have all the necessary documents before you travel to another country for treatment and once you arrange this set of important documents, you are just a few steps away from receiving quality medical treatment. Packing should be done with extra care when you are traveling to another country for seeking medical treatment because you might miss any important document. You need to check with the concerned authority if any extra items needed because the required documents may vary as per your destination.
The popular procedures available in Israel are:
With high success rates, the popular procedures are performed by highly qualified doctors with great precision and accuracy, ensuring complete patient safety and fast recovery. Bone implants through tissue engineering technology have been successfully done in Israel and the country has introduced a new technology for hernia surgery with fewer complications and fast recovery. According to a study, the most common treatments in Israel are Botox injection and other fillings, along with hair implants.
A large number of international patients visit some selected cities in Israel like:
The excellent cultural diversity and natural beauty of these cities make them the perfect destinations for medical tourists, contributing to the overall well-being and speedy recovery. These cities are backed by one of the finest hospitals in the world that offer a wide spectrum of treatment options at affordable cost and are equipped with modern infrastructure, highly experienced doctors, and a wide range of facilities. Some other factors which make these cities the best medical tourism destinations are transportation facilities, affordable accommodation, a variety of food options, scenic value, availability of language assistance services.
To make patient’s hospital stay memorable, healthcare facilities in Israel offer all modern facilities, such as visa assistance, travel arrangements, airport transfers, coordination of all medical appointments, accommodations for patients and companions, international staff translators, shopping and recreational options, Internet with wi-fi, mobile sim cards, lockers, and a variety of food options. The hospitals provide all necessary facilities that are affordable and at par with international standards in order to provide a unique patient experience. The well-trained staff at hospitals guide patients by connecting with doctors, provide cost estimates, and schedule appointments that meet patients’ travel dates.
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