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Patent Ductus Arteriosus (PDA) is a common congenital heart disorder. Every infant is born with a ductusarteriosus. After birth, the opening is no more needed and it normally narrows and closes over the first couple of days of existence. Failure to do this leads to Patent DuctusArteriosus (PDA) allowing blood to flow from the aorta into the pulmonary artery.

If the PDA is large, the heart will be volume loaded resulting in heart failure. The PDA also carries a risk of bacterial infection (Endocarditis) and pulmonary hypertension.

PDA Device Closure Cost in India

PDA Device Closure cost in India starts from USD 4000. Its cost can also go up to USD 6500 this typically includes necessary preoperative tests, the patient’s condition of its eyes, and the type of surgery itself. However, please note that accommodation and transfers are not included in this cost.

Cost of PDA Device Closure in Different Cities in India

CitiesStarting Price
DelhiUSD 4000
GurgaonUSD 4100
NoidaUSD 4000
MumbaiUSD 4300
HyderabadUSD 4000
ChennaiUSD 4100
KolkataUSD 4000
BangaloreUSD 4600

Note: Keep in mind that the above-mentioned cost provided is solely for the treatment. The overall cost of PDA Device Closure in India will be determined based on several factors.

Cause of Patent Ductus Arteriosis (PDA)

The precise source of patent ductusarteriosus is not understood, can be a hereditary defect. PDA is commonly seen in:

  • Premature infants
  • Babies That have genetic conditions like Down syndrome
  • Babies whose mothers had rubella during pregnancy
  • PDA is twice as common in women as it is in boys

Indication for PDA closure

  • The Existence of volume overloading of the left atrium and left ventricle
  • Risk of endocarditis
  • Risk of Pulmonary hypertension
  • Aneurysm of PDA

Signs and Symptoms

Depends on the size of the PDA:

  1. If PDA is small, a certain Heart murmur also referred to as a machine murmur could be the only indication of patent ductusarteriosus (PDA).
  2. If Large PDA, apart from the murmur, some can develop signs or symptoms
  • Breathlessness
  • Poor feeding and poor weight gain
  • Easily tired
  • Easy Sweating like with feeding

Diagnostic Tests

  • Echocardiography (echo) is the most important test available to both diagnose a heart problem and follow the problem over time.
  • CXR
  • ECG
  • Doppler study

Treatment of PDA Device Closure

  • Routine monitoring and Medicines,
  • Surgery
  • Transcatheter closure of PDA utilizing the occluder device was proven to be safe and efficacious.

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Procedure

Before Procedure

  • Medical history noted and clinical Evaluation of the child Conducted
  • Advised general Evaluations to Test for fitness of Operation
  • Counseled Concerning the Process

During Procedure

  • The procedure generally takes approximately 1 to 3 hours.
  • Normally performed in the cardiac catheterization laboratory.
  • Access from the femoral vein is got with the positioning of a sheath. A sheath is placed in the femoral artery.
  • The unit is then advanced to the point of the sheath from the descending aorta The sheath and apparatus are then pulled into a position.
  • When a great position is accomplished, the sheath is retracted farther along with the tubular region of the unit is opened inside the PDA.
  • An angiogram is done from the descending aorta to validate the final apparatus position up for this measure, the apparatus could be repositioned or recovered if the angiogram showed significant residual stream.
  • Sometimes a repeat angiogram is done at the descending aorta ten minutes afterward.
  • If the apparatus position is satisfactory, the device is released.

After Procedure

  • The patient is hospitalized for a day to track the vitals.
  • An X-ray and echo doppler study performed another day following the procedure to be certain that the closure device has not moved.
  • Normally discharged after evaluation and kept on an antibiotic.
  • Subacute bacterial endocarditis prophylaxis is suggested for six months or until complete closure is acquired.
  • The cardiologist may advise some physical activity restrictions for a short time.
  • Pregnancy is reduced risk in patients using PDAunless there is pulmonary hypertension or signs of heart failure.
  • Follow-up the patient incorporates clinical examination, transthoracic echocardiography, and CXR performed at regular intervals.

Complications

Though rare, may include:

  • Bleeding
  • Infection, and
  • Displacement of the blocking device from where it was placed
  • Transient arrhythmia
  • Allergic reaction to the device
  • Clot formation

Prognosis of PDA Device Closure

PDA closure procedure has a roughly 95% success rate. The long-term prognosis is great and generally, no medications and no extra surgery or catheterization are required.

Factors That Can Affect PDA Device Closure Cost in India

Various factors can affect the cost of PDA Device Closure in India. Your budget is greatly impacted by numerous elements that fail under pre and post-treatment costs. Below are the various factors that can affect the cost of PDA Device Closure in India. 

  • Medication costs: Certain medicines can influence the overall cost of the treatment.
  • Patient Condition: The complexity of the disease along with the patient’s overall health can affect the duration of treatment, impacting the cost. 
  • Duration of treatment: Longer treatment courses involving multiple visits can lead to higher cumulative costs.
  • Geographical location: Cost can vary widely depending on the region in India.
  • Hospitalization expenses: The length of hospital stay and the level of nursing care required by the patient can add to the treatment expenses.
  • Government policies and subsidies: Government healthcare schemes and subsidies can reduce out-of-pocket expenses for patients, affecting the affordability of the treatment.
  • Medical tourism packages: Curated packages for international patients can include various services at a bundled cost, influencing the overall expense of treatment in India.
  • Hospital reputation and infrastructure: Prestigious hospitals with state-of-the-art facilities may charge more for their services.
  • The expertise and experience of medical professionals: Cardiologist with extensive experience and recognition often command higher fees, contributing to the treatment cost.
  • The type and frequency of diagnostic procedures: Regular monitoring with advanced imaging and laboratory tests can increase treatment costs due to the high price of these diagnostic methods.
  • The choice of treatment modality: Opting for newer or more advanced treatment options or precision medicine can be more expensive than traditional approaches.

PDA Device Closure cost in India offers exceptional medical services and facilities to patients who come for treatment in India also their facilities rival those of well-known healthcare centers worldwide. Accommodation, meals, and transportation expenses are also covered. Furthermore, a foreign patient can save up to 30-40% of the PDA Device Closure cost in India when compared to their native countries.

Read More – VSD Closure Surgery Cost in India

The Most Important Frequently Asked Questions

Q: What Is Ductus Arteriosis?

A: The ductus arteriosus is a hole that allows the fetal bloodstream vessels to bypass the flow to the lungs.

Q: When Is PDA First Suspected in Infants?

A: In infants, patent ductus arteriosus (PDA) is first suspected when the doctor during a regular checkup hears a heart murmur.

Q: Why Is the Size of PDA Important in Planning Treatment?

A: Small PDAs often close on their own within the first few months of life. If a PDA is large, the infant also may develop symptoms of volume overload and increased blood flow to the lungs, then closure would be necessary.

Q: Who Will Treat Children With PDA?

A: A pediatric cardiologist is qualified in treating the condition in children.

Q: Can PDA Close on Its Own?

A: A small PDA may close on its own as the child grows, the cardiologist will check periodically whether the PDA is closing on its own. A large PDA or that causes symptoms will need to be treated.

Q: What is PDA Device Closure?

A: In PDA Device closure a catheter is put through a blood vessel to the heart following which the closure device is threaded through the catheter and placed into the PDA. This device blocks blood flow through the vessel thereby closing it.

Q: How Long Does the Procedure Take?

A: Depending on the complexity of the procedure, it normally takes 1-3 hours.

Q: Can I Get a Visa on Arrival If I Travel to India for My Treatment?

A: Yes, if you are from the following countries, Japan, Cambodia, Finland, Indonesia, Philippines, Luxembourg, Myanmar, New Zealand, Singapore, South Korea, and Vietnam. Travelers from Bhutan, Nepal, and Maldives (up to 90 days) can enter India without a visa.

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