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.
The cost of PDA Closure in Thailand may differ from one medical facility to the other. The cost quoted by some of the best hospitals for PDA Closure in Thailand generally covers the pre-surgery investigations of the patient. Typically, the package cost of PDA Closure in Thailand 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 Thailand.
PDA Closure in Thailand is offered by multiple hospitals across the country. Some of the best hospitals for PDA Closure in Thailand include the following:
After PDA Closure in Thailand, the patient is supposed to stay in guest house for another 18 days. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.
While Thailand is considered to be one of the best destinations for PDA Closure owing to the standard of Hospitals, and expertise of doctors; there are a select few destinations which provide comparable quality of healthcare for the procedure However, there are other countries as mentioned below that are popular for PDA Closure as well:
Apart from the PDA Closure cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. These charges starts from USD 50 per person.
Some of the cpopular cities in Thailand that offer PDA Closure include the following:
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.
There are more than 5 hospitals that offer PDA Closure in Thailand. These clinics have propoer infrastructure as well as offer good quality of services when it comes to PDA Closure Apart from good services, the hospitals are known to follow all standard and legal guidelines as dictated by the local medical affairs body or organization.
The strength of Thai healthcare organisations is that they are wealthy in terms of human resources, financial resources and technological resources. It is an amalgamation of Thai public and private healthcare systems The Institute of Hospital Quality Improvement and Accreditation (HQIA) awards Thai HA accreditation on the basis of standard and quality of healthcare in Thailand. Also, Thai public hospitals and private hospitals' service delivery is kept in check by this body.
The Thai hospitals approach to healthcare is rooted in the personal touch and the clinical care they provide to their patients. When you come to Thailand and find that there are so many different multispecialty hospitals, this gives you the chance to make the best choice from tho ones available. The specialists in these hospitals are recognised globally as the best of treatment is provided by them. The famous multispecialty hospitals in Thailand are:
Thailand draws a number of international medical travellers to its shores and this makes it an important health tourism destination. Thailand hospitals have International patient services in their topmost multipsecialty hospitals which makes it easy for the medical travelers to travel to Thailand and get treated. Interpreters, International medical coordinators, concierge services, embassy and airport transfer assistance and International insurance coordination are all available at one place for International medical travellers. Thai healthcare systems are known to give the entire specturm of treatment options, be it aesthetic procedures or tertiary care processes.
No matter Southeast Asia or the world, Thailand doctors are considered to be one of the best in terms of their expertise. The skills and experience of Thai doctors have long been equated with excellence. Innovation aiding medical care implementation has ensured that the quality of doctors in Thailand is unmatched. Experience in treating international patients has meant that Thai doctors are sought after from the world over.
The decision to come to Thailand should be done in tandem with getting the documents ready. From getting your finances ready to arranging for travel documents and medical documents, you must do it all when coming to Thailand. Let us look at the documents you need to come to Thailand for your medical treatment.
There are many reasons that make Thailand a medical tourism hub. In addition to people coming here to holiday, Thailand provides the best of medical treatment at affordable costs. There are several popular procedures in Thailand such as the ones mentioned below:
Planning an international travel is incomplete without the necessary immunisations and vaccinations. Even medical travellers coming to Thailand must get protected from potential health hazards. We are outlining the vaccinations recommended by CDC and WHO. Yellow Fever, Japanese Encephalitis, Measles, Mumps and Rubella (MMR), TDAP (Tetanus, Diphtheria and Pertussis), Chickenpox, Shingles, Pneumonia, Influenza, Rabies, Meningitis, Polio, Hepatitis A, Hepatitis B, Typhoid and Cholera.
Healthcare infrastructure in Thailand is well equipped with the latest technological advancements. Whether you are a patient or a co traveller you can approach the center for International patients to get access to travel, transfer and accomodation needs. Integrated medical support services and emergency services add value to the existing facilities that hospitals provide in Thailand. There are a variety of medical facilities available in Thailand hospitals such as radiology services, operating theaters, Intensive care units, cardiac care units, diagnostic laboratory and pharmacies.
The high standards of medical facilities and the toursim potential of the various destinations make Thailand a good medical tourism destination. The treatment costs in many countries are much higher than the overall cost of treatment and holiday in Thailand. Thailand is not just a beautiful country with rich history, culture and natural beauty but has the best of healthcare facilities and this makes it a strong candidate for medical tourism. Phuket and Bangkok are the topmost destinations in medical tourism in Thailand.
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