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PDA Closure Surgery in Bhubaneswar

Patent Ductus Arteriosus PDA Device Closure

PDA Closure Surgery in Bhubaneswar

 

Patent ductus arteriosus (PDA) is a congenital heart defect where the ductus arteriosus, a blood vessel connecting the pulmonary artery to the aorta, fails to close after birth as it should. This condition can lead to abnormal blood flow between the heart and lungs, resulting in issues such as heart failure, lung problems, and an increased risk of infections.

PDA Device Closure is a minimally invasive procedure designed to close the PDA and restore normal blood circulation. This technique involves the insertion of a small, specially designed device through a catheter, which is threaded through a blood vessel to the site of the ductus arteriosus. Once in place, the device seals the PDA, preventing abnormal blood flow and allowing the heart and lungs to function normally.

PDA closure surgery in Bhubaneswar is usually performed under sedation or light anaesthesia and does not require open-heart surgery. It offers several advantages, including shorter recovery times, minimal discomfort, and a lower risk of complications compared to traditional surgical methods.

 

 

 

FAQ's

Small PDAs don't cause symptoms because they don't put a lot of strain on the heart and lungs. Sometimes, you may hear a certain type of murmuring sound when listening with a stethoscope.

The child may breathe harder and faster than usual if the PDA is big. Infants may experience difficulties eating and developing normally. Not all symptoms may show up for a few weeks following delivery. Because the lungs are pumping more blood than usual, high pressure may develop in the blood vessels there. This could eventually permanently harm the blood vessels in the lungs.

This method has numerous advantages over other forms of heart surgery because it only requires a minor puncture. There is less chance of bleeding, illness, and pain for your child. They'll also bounce back faster. On the day of or the day following surgery, some kids return home. Babies born prematurely who were in the NICU before surgery typically go back there to get better.

Your child's heart and lungs won't have to work as hard to pump blood after the treatment. Additionally, breathing and feeding will be easier for them. You may notice that they start eating much more and that their hunger increases rapidly. Your child will be able to have a normal, active childhood.

Leaving a small PDA open can lead to heart problems in the infant later on. If the PDA remains open, babies with a larger PDA may experience heart issues such as heart failure, high blood pressure in the lungs' arteries, or an infection of the heart's inner lining.

PDAs can be closed with surgery. For infants under six months old with significant abnormalities and symptoms, including poor weight gain and rapid breathing, surgical closure is frequently recommended. Surgery may not be performed on a baby until beyond the age of six to twelve months if they are symptomless.

 

  • Your child will be given general anaesthesia, meaning they will be asleep and not feel pain during the procedure. For breathing assistance during the procedure, a breathing tube may be introduced.

  • A small needle puncture will be made in your child's leg.

  • A picture will be taken using dye to measure the PDA.

  • A catheter (a thin, flexible tube) is then carefully guided through the blood vessels and into the heart, specifically to the PDA, using the images as a guide.

  • A small plug or coil device is delivered through the catheter to close the PDA. This device seals the PDA to stop the abnormal blood flow between the aorta and pulmonary artery.

  • The catheter will be removed and the puncture site bandaged.

  • The entire procedure takes about one hour.

Closure of a patent ductus arteriosus (PDA) may be necessary for patients exhibiting signs of left ventricular volume overload. This includes those with mild pulmonary arterial hypertension (PAH), defined as pulmonary arterial pressures less than two-thirds of systemic pressures or pulmonary vascular resistances less than two-thirds of systemic vascular resistances.

In premature infants, PDA therapy options include:

  • Observation: Doctors will closely monitor the heart and blood vessels to see if the PDA is closing properly or is too small to be a problem.

  • Medications: Indomethacin, an intravenous (IV) drug, may help seal a PDA in premature newborns.

  • Open-heart surgery: To tie off or clamp the duct, doctors can also seal a PDA by opening the chest between the ribs. A baby's healing period is prolonged, and their danger is higher after cardiac surgery.

  • Transcatheter closure: To stop blood flow through a PDA, medical professionals can implant a soft, wire mesh closure device through a catheter, which is a long, narrow tube.

The length of time required for a PDA closure process varies depending on the technique:

  • Transcatheter Closure: It usually takes one to two hours for this minimally invasive technique. Many patients are able to return home the same day or the day after the treatment, and recovery times are typically short.

 

  • Open-Heart Surgery: Depending on the complexity, the actual surgery could take two to three hours. After surgery, rehabilitation takes longer and usually involves several days in the hospital, followed by many weeks of recuperation at home.

The patient's age, general health, and PDA intricacy can all affect how long it takes.

It is rare for a PDA to reopen after successful closure, but it can happen in some cases. Regular follow-up care is essential to ensure that the closure is permanent.

Closing the PDA device is regarded as a safe course of action. Like any procedure, there are some minor dangers associated with it, including bleeding, infection, or damage to your child's blood vessels. Before your child's therapy, your doctor will assist you in understanding these risks. While transcatheter closure of PDA is thought to be an efficient procedure, there is a possibility of several consequences, such as hemolysis, embolisation, infective endocarditis, and constriction of surrounding arteries.

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