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What is Patent ductus arteriosus (PDA)?

A heart condition known as patent ductus arteriosus, or PDA, may appear shortly after birth.

A persistent gap between the two main blood arteries that emerge from the heart is known as the patent ductus arteriosus (PDA).

The blood flow system for an unborn child, often known as a fetus in the womb, includes an entrance known as the ductus arteriosus. Usually, it shuts down soon after delivery. It is referred to as a patent ductus arteriosus if the opening stays open.

What is the Importance of Timely Treatment?

Timely management of Patent Ductus Arteriosus (PDA) is necessary to avoid consequences such as inadequate oxygenation, pulmonary hypertension, and heart failure.

PDA raises the risk of infective endocarditis and strains the heart, which can cause long-term lung and heart damage if treatment is not received.

Early intervention promotes children's improved growth and general health while preventing developmental delays.

For those impacted, timely intervention guarantees fewer complications and enhances their quality of life.

What are the Common Symptoms of Patent ductus arteriosus (PDA)?

A large PDA diagnosed during infancy or childhood might cause :

  • Poor feeding, which results in poor growth
  • Crying or eating while perspiring
  • Breathing too quickly or feeling out of breath all the time
  • Easy tiring
  • Elevated heart rate
  • Inadequate growth or weight gain

Taking Care of the Patent Ductus Arteriosus During Pregnancy

  • A small patent ductus arteriosus may not hinder a successful pregnancy. However, the risk of significant pregnancy issues is increased in case of a large PDA or a condition such as heart failure, lung injury, or irregular heartbeats.
  • Discuss potential pregnancy risks and consequences with your healthcare provider before getting pregnant. Certain cardiac medications may be harmful to a developing fetus. Before you get pregnant, your doctor may decide to stop or modify your medication.
  • The healthcare team can plan any particular care required during pregnancy. Pregnancy-related genetic testing and screening may be performed if you are at a high risk of giving birth to a child who has a cardiac problem.

Causes, Risk Factors and Complications of Patent Ductus Arteriosus (PDA)

Causes

The cause of this illness is unknown to researchers. A family history of the disease or genetic problems are two possible causes of patent ductus arteriosus. Additional PDA reasons could be:

  • Pregnancy-related German measles
  • Respiratory Distress Syndrome in Neonates

Risk Factors

Risk factors for patent ductus arteriosus (PDA) include:

  • Premature birth
  • Family history and other genetic conditions
  • German measles during pregnancy
  • Being born at a high altitude
  • Female sex assigned at birth

Complications

A small patent ductus arteriosus might not cause complications. Larger, untreated PDAs could cause:

  • High blood pressure in the lungs is also called pulmonary hypertension
  • Heart failure
  • A heart infection called endocarditis

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Latest Research and Technologies in the Treatment of Patent Ductus Arteriosus (PDA) in Thailand

  • Thailand is advancing in treating Patent Ductus Arteriosus (PDA) by utilising minimally invasive procedures such as transcatheter closure, lowering stress and recovery time.
  • Recent advances in device technology have improved closure safety and efficacy. Ongoing research focuses on improving patient selection and long-term outcomes and increasing non-surgical treatments, positioning Thailand as a top location for PDA treatment.

Patent ductus arteriosus (PDA) Prevention Tips

The prevention of patent ductus arteriosus is unknown. But it's essential to take every precaution to ensure a healthy pregnancy. Here are a few essentials:

  • Take folic acid now
  • Stay active and engage in exercise
  • Get early prenatal care, even before you're pregnant
  • Avoid smoking and drinking alcohol
  • Obtain the recommended vaccinations
  • Manage your blood sugar levels

Treatment options for Patent ductus arteriosus (PDA)

Cardiac catheterisation: Cardiac catheterisation involves inserting a flexible tube, threading it through a blood vessel to the heart, closing the patent ductus arteriosus and stopping blood flow.

PDA closure: Surgery for patent ductus arteriosus involves a lateral chest incision made by the surgeon. They use a metal clip or sutures to close the PDA.


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The diagnosis of patent ductus arteriosus can be aided by tests.

  • Echocardiogram: Images of the beating heart are created by sound waves. This test illustrates the blood flow of the heart and its valves. It can determine whether the heart has a persistent opening.
  • Chest X-ray: This test reveals the state of the lungs and heart.
  • EKG, or electrocardiogram: This quick and easy test captures the electrical signals that comprise the heartbeat.
  • Cardiac catheterisation: This test isn't usually needed to diagnose patent ductus arteriosus.

The primary components of PDA rehabilitation are monitoring and supportive care. But in more serious situations or following surgery, rehabilitation might entail:

  • Cardiac rehabilitation: The goal is to strengthen the heart and enhance cardiovascular health.
  • Physical therapy: To aid in recuperation, particularly in cases of developmental delays, post-operative muscle weakness, or chronic heart strain.
  • Respiratory Therapy: If increased blood flow to the lungs has caused injury, respiratory therapy restores lung function.
  • Monitoring and Ongoing Care: To guarantee long-term health and keep an eye on heart function, schedule routine check-ups with medical professionals.

PDA medicines, which decrease blood flow through the vessel, aid in stimulating the closure of the ductus arteriosus, particularly in moderate cases or preterm infants.

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Hospitals for Patent ductus arteriosus (PDA) in Thailand

Bangkok Hospital: Top Doctors, and Reviews
Bangkok Hospital

Bangkok, Thailand

Bangkok Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • It is recognised for the application of the newest healthcare technology.
  • Blood analysis center that is not just the best in Thailand but in Asia Pacific as well.
  • Biomolecule center that is the seed of healthcare equipment for Thailand and overseas.
  • International affiliations and collaborations with universities and hospitals in Japan and the United States of America.
  • 11 hospitals are recognised as Centers of Excellence.
  • Known excellence in Trauma, Orthopedics, Cardiovascular, Neurology as well as Cancer Care.
  • There is a proper streamlined patient services process followed in Bangkok Dusit Medical Services, Bangkok, Thailand.
  • A well developed research center showcases the intent of the organisation to provide research based treatment opportunities to the patients.
  • The group has several Medical industry partnerships as well to ensure healthcare solutions.
Sikarin Hospital: Top Doctors, and Reviews
Sikarin Hospital

Bangkok, Thailand

Apart from in-detail treatment procedures available, Sikarin Hospital located in Bangkok, Thailand has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • Sikarin Hospital has a 258-bed capacity.
  • The hospital caters to the healthcare needs of both local and international patients.
  • Dedicated and skilled, experienced healthcare professionals are the strength of the organization.

It has also received many awards and certifications and some of them are:

  • APSIC CSSD Center of Excellence Award (2017-18)
  • Accreditation by the Joint Commission International
  • HA-Hospital/Healthcare Accreditation
  • HACCP Certificate of Registration
  • The Best Under a Billion Award 
  • ISO 14001 Environment Management System
  • ISO 9001 Quality Management System

The various clinics and centers of Sikarin Hospital are as follows:

  • Pediatric Institute
  • Orthopedic Institute
  • Dental Center
  • Health Check-up Center
  • Heart Disease Center
  • Cerebral and Nervous System Center
  • Internal Medicine Clinic
  • Diagnostic Radiology Center
  • Diagnostic Laboratory
  • Endoscopic Surgery Center
  • International Medical Center
  • Emergency Medical Center
  • Sikarin Beauty Center
  • Eye Center
  • Rehabilitation Center
  • Women’s Health Center
  • Ear, Nose and Throat Center
  • Specialized Internal Medicine Center
  • Center for Gastrointestinal and Liver Diseases

The medical technology present in Sikarin Hospital is outlined here:

  • MRI (Magnetic Resonance Imaging) magnetic resonance imaging
  • Hybrid Operating Room
  • Endoscopic Surgery - Gastrointestinal medical technology with tiny capsules
  • S.R. Laboratory
  • Cardiac Catheterization Lab 
  • Dental Operating Microscope, an innovative endoscopic root canal treatment
  • 128-Slice CT Scan
  • ORTHOPANTOMOGRAPH OP 3D oral X-ray machine
  • Digital Mammogram
  • Optical Coherence Tomography
  • INFRARED (IR) IMAGING Surgical Technology “Cure Cancer” – Direct, Accurate, Fast
  • 3D endoscopic surgery technology
  • Laparoscopic Surgery
  • Dental Aerosol Suction Dental Intraoral Aerosol Remover
  • Comprehensive Dental Center
  • iTeroElement 5D

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Recovery

Our In-house rehabilitation service packages to better your recovery and treatment outcome

Why Choose Thailand for Patent ductus arteriosus (PDA) Treatment?

Here are some of the reasons to choose Thailand:

  • Advanced Medical Technology: Thailand provides cutting-edge facilities that use minimally invasive surgical procedures to treat coronary artery disease.
  • World-Class Experts: Highly experienced cardiologists and surgeons with international training, backed by JCI-accredited healthcare facilities.
  • Cost-Effective Treatment: Compared to many Western countries, treatment in Thailand is less expensive while maintaining high quality.
  • International Patient Services: Thai hospitals offer exceptional multilingual care and assistance to international patients.
  • Innovative Treatment Options: Modern technologies include biologic medicines and the most recent research in Patent ductus arteriosus (PDA) treatment.

Frequently Asked Questions

Follow your healthcare provider's instructions. If your infant exhibits new symptoms, notify your provider immediately and keep all follow-up appointments.

Healthcare professionals can fix a PDA if it doesn't close. If moderate and large-sized PDAs in babies and children are not treated on time, they may be more likely to develop cardiac problems as adults.

In Thailand, PDA closure treatments also have a high success rate. Catheter-based closure procedures typically have a success rate of 95% to 98%, with minimal complications, while surgical closure for more complex cases has a success rate above 95%.

These treatments are conducted by highly competent cardiologists and surgeons in top-tier hospitals. Success may vary based on factors such as the patient's age, overall health, and the size of the PDA.

The majority of PDA newborns who receive therapy go on to lead active, healthy lives.

Sometimes, the PDA may spontaneously close in the initial days or weeks following birth, especially in premature babies. However, medical attention could be required if it persists or produces symptoms.

If there are no more cardiac abnormalities, blood flow quickly returns to normal following catheterisation or surgery.

The most prevalent cardiac issue affecting newborns is patent ductus arteriosus. Premature babies are more likely to have the condition diagnosed by medical professionals. The earlier the infant is born, the higher the risk.

  • About 10% of babies born between weeks 30 and 37 of pregnancy have PDA.
  • Eighty per cent of babies are born between weeks 25 and 28 of pregnancy.
  • 90% of kids are born before the 24-week mark.

There is very little chance of recurrence if the wound has been effectively closed by medication, catheterisation, or surgery. However, routine follow-ups are essential to monitor heart health and avoid issues.