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 PDA Closure package cost in the United Arab Emirates varies from one hospital to another and may offer different benefits. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The PDA Closure cost in the United Arab Emirates includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the PDA Closure cost in the United Arab Emirates.
There are many hospitals that perform PDA Closure in the United Arab Emirates. For quick reference, the following are some of the leading hospitals for PDA Closure in the United Arab Emirates:
While the speed of recovery may vary from patient to patient, they are still required to stay for about 18 days after discharge. 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, 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 the United Arab Emirates per person are about USD 50 per person.
PDA Closure in the United Arab Emirates is offered in almost all metropolitan cities, including the following:
There are several doctors who are available for telemedicine consultation for patients requiring PDA Closure in the United Arab Emirates. The following are some of the best doctors for PDA Closure in the United Arab Emirates who are available for video consultation:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Kamal Al Abdi||USD 173||Schedule Now|
|Dr. Girishchandra Varma||USD 173||Schedule Now|
|Dr. Luc J M T Tambeur||USD 173||Schedule Now|
|Dr. Ala Eldin Farasin||USD 173||Schedule Now|
The patient is supposed to stay at the hospital for about 3 days after PDA Closure for monitoring and care. 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.
The average rating for PDA Closure hospitals in the United Arab Emirates is 4.5. Several parameters such as hospital infrastructure, pricing policy, quality of services, politeness of staff etc. contribute to the rating.
There are more than 19 hospitals that offer PDA Closure in the United Arab Emirates. These hospitals have propoer infrastructure as well as offer good quality of services when it comes to PDA Closure Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of PDA Closure patients.
DHCA (Dubai Healthcare City Authority) and JCI (Joint Commission International) are the standard accreditation followed by UAE hospitals. In UAE, the excellent hospital infrastructure, medical care quality and service delivery quality is overseen by Dubai Healthcare City Authority and Joint Commission International. A governing body of Dubai Healthcare City, DHCA accredition is well sought after whereas JCI as a non profit organisation is an international accreditation body. The Dubai Healthcare City Authority was established in May 2011 whereas Joint Commission International was founded in 1998 as a division of The Joint Commission (est. 1951).
There are numerous multidisciplinary hospital groups in UAE which are listed below for your convenience:
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