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 cost in Tunisia varies from one hospital 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 Tunisia includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of PDA Closure in Tunisia.
After PDA Closure in Tunisia, the patient is supposed to stay in guest house for another 18 days. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient us safe to return.
One of the topmost destinations for PDA Closure is Tunisia. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. 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. The per day extra expenses in Tunisia per person are about USD 50 per person.
Some of the cpopular cities in Tunisia that offer PDA Closure include the following:
The patient has to spend about 3 days in the hospital after PDA Closure for proper recovery and to get clearance for discharge. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.
There are more than 3 hospitals that offer PDA Closure in Tunisia. 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.
We bring to you the popular multispecialty hospitals in Tunisia:
Healthcare in Tunisia is synonymous with superlative service delivery and human touch while treating patients. The results of diagnosis and treatment of multiple kinds of health conditions by multispecialty hospitals in Tunisia showcase the efficiency and finesse of these healthcare institutions. The world class infrastructure in the healthcare institutions such as hospitals and clinics in Tunisia are a good reason for you to opt for treatment in Tunisia.
The cutting edge infrastructure of the healthcare institutions in Tunisia is a good reason for you to opt for healthcare in Tunisia. You must choose to get your healthcare from Tunisia as the hospitals and clinics here are composed of really qualified and skilled medical, paramedical and administrative professionals. You can choose to get healthcare from Tunisia because of the lower costs, lesser waiting times and an all embracing approach to healthcare right from consultation to treatment follow ups or rehabilitation. The safety, security and the cleanliness standards of Tunisia and healthcare in Tunisia respectively makes it an attractive destination to get your healthcare from.
When it comes to performing procedures effectively, the doctors in Tunisia are able to do so with great results as their long term practical training and vast experience enables them to function well under pressure for long hours. The ability to learn and the simultaneous application of this knowledge ensures that the doctors in Tunisia are not only well educated but continue their education, add qualifications as they practise medicine. The doctors in Tunisia are great at leading medical, surgical teams and are experienced in liaising with doctors and healthcare professionals giving you the confidence as a patient that you are in good hands. It must be put forth that the doctors in the Tunisian healthcare system are good in people skills and thus great at managing relationships with fellow doctors and healthcare professionals and in leading teams.
Do carry with you the important documents that are required for your medical travel to Tunisia; we have outlined them for you:
Your travel itinerary and the medical treatment procedure should be covered with the complete set of documents so that you can travel to Tunisia and get treated with ease. A visa is an important document when you are planning an important medical travel to Tunisia. The Government of Tunisia is easing the visa application as it is introducing an online visa application process. Both the medical visa invitation letter from the hospital you are being referred to in Tunisia and the treatment recommendation from the hospital in your home country are essential for medical travel preparation.
The popular procedures available in Tunisia are as follows:
It is the Spine and Orthopaedic treatments that are making waves in the medical travel industry in Tunisia. Breast Cancer treatment in Tunisia is constantly pushing to new frontiers of success everyday and is a good reason for the innumerable medical travellers coming to Tunisia. The gynecological procedures such as fibroid removal surgery are done on a regular basis in Tunisia and is one among the various popular procedures regularly performed in the hospitals here.
Are you planning to go to Tunisia? Then please have a look at the vaccinations that you need to take before starting on your journey.
The CDC: The Centers for Disease Control and Prevention, the US agency and WHO: World Health Organisation, a UN body have suggested two kinds of vaccinations for your medical travel to Tunisia, the recommended travel and routine vaccines. There are vaccines that are only suggested for certain potential health hazards such as Hepatitis A, Hepatitis B, Typhoid and Rabies and then there are other vaccines which you must be up to date at any time before traveling to Tunisia. There are certain vaccines which you must be up to date with at all times and then there are vaccines which are for specific health hazards and to be used conditionally such as for Hepatitis A, Hepatitis B, Typhoid and Rabies.
Whenever you are in the process of deciding to go to Tunisia for medical travel, the many additional facilities extended by the hospitals make the decision easier. The hospitals in Tunisia give many additional facilities to the medical tourists as mentioned here for you:
As an international patient availing any treatment option in Tunisia, you can avail virtual consultations before you begin your treatment and virtual post procedure evaluations and follow ups as well. Good health options like dietitians, physiotherapists and prayer rooms for those religious souls are present in the hospitals in Tunisia.
Tunisia, the tiniest North African nation is the one with the good tourism potential in the form of the great health infrastructure and the many tourist attractions present in the country. The medical tourism destinations within Tunis are outlined here:
In the 2020-21 Medical Tourism Index listing 46 countries, Tunisia has a good ranking of 38. This is because of the focus on healthcare, having good relationships with the European union and Arab nations and a strong tourism industry. Good healthcare at economical costs, effortless visa process and the hospitable nature of the people in Tunisia have made Tunisia an attractive medical tourism hub.
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