The Impact of Patent Ductus Arteriosus on Quality of Life| Dr Asif

Updated at: 24 Aug 2023

What is Patent Ductus Arteriosus or PDA?

Patent Ductus Arteriosus, or PDA, is a congenital heart disorder. This condition occurs when the opening between the pulmonary artery and the aorta remains open longer than it should. Normally, this opening closes soon after birth. But in some cases, it persists, causing PDA. This condition leads to blood flow in the wrong direction, which burdens the heart and potentially leads to heart failure. PDA also poses risks for bacterial infection and pulmonary hypertension. Let us dive deeper into this to know about the impact of Patent Ductus Arteriosus on quality of life.

What are the causes of PDA closure?

Still, the researchers did not find the exact origins of patent ductus arteriosus or PDA. Though it is believed to have a hereditary component. PDA is commonly found in the following groups:

• Premature infants

• Babies with genetic conditions like Down syndrome.

• Babies whose mothers had rubella during pregnancy.

• Additionally, PDA is found to be twice as prevalent in women compared to boys.

What are the Indications for PDA Closure?

Closing a PDA is necessary when certain conditions arise. Such as:

• Excessive volume overload in the left atrium and left ventricle

• Increased risk of endocarditis

• Elevated risk of pulmonary hypertension

• Development of a PDA aneurysm

By exploring the causes and indications for PDA closure, the best cardiac surgeon in Hyderabad can better address and manage this condition.

Also read: Treatments of Ventricular septal defect

What are the main patent ductus arteriosus symptoms?

Symptoms vary based on the size of the PDA.

1. For those with a small PDA, a distinct heart murmur is often called a machine murmur. This may be the sole indicator of this patent ductus arteriosus or PDA.

2. However, individuals with a large PDA may experience additional signs, including:

• Shortness of breath

• Difficulty feeding and inadequate weight gain

• Fatigue

• Excessive sweating during meals

What are the top treatment options for PDA at the Best Heart Hospital in Hyderabad?

1. The Best Heart Hospital in Hyderabad offers a range of innovative treatments for PDA. The specific course of action will depend on the patients age and the severity of the condition.

2. Premature infants may see the PDA close naturally as they grow. But medication like indomethacin can also be utilised to facilitate closure. In some cases, surgical intervention may be necessary.

3. Full-term babies with small defects may simply need monitoring. These defects can sometimes close on their own. However, larger defects may require surgical closure.

4. The Best Heart Hospital in Hyderabad offers open-heart surgery and percutaneous catheterization procedures for surgical closures. The best cardiac surgeon in Hyderabad performs this procedure.

Who is the candidate for PDA device closure treatment?

Children may need this PDA device closure treatment if they meet the following criteria:

• Age: Older than 6 months

• Weight: At least 22 pounds

• Defect size: Not too large

For adults, considerations include:

Lung pressure: Device closure may be an option if it is not irreversibly elevated.

Safety assessment: If lung pressure is high, careful measurement and evaluation of lung resistance will determine if the procedure is safe.

Also read: Different Types of ASD

What are the risks associated with the PDA device closure procedure?

• Rupture of blood vessels or heart wall

• Complications during device positioning

• Leakage through the closure device

Other less common risks may include:

• Bleeding and infection

• Device displacement

• Transient arrhythmia

• Allergic reaction to the device

• Clot formation

What are the essential diagnostic tests for PDA?

Echocardiography is one of the most essential tests to check heart issues and track their progression.

CXR, ECG, and Doppler study tests are also used to ensure a comprehensive diagnosis for PDA closure.

What happens before the PDA device closure procedure?

Before the PDA device closure, the childs medical history is reviewed, and a clinical evaluation is conducted. General evaluations are advised to test the childs fitness for the operation. The family is also counseled about the process.

What happens during the PDA device closure procedure?

The PDA device closure procedure typically takes 1 to 3 hours. A sheath is placed in the femoral vein, and another sheath is placed in the femoral artery. The device is then advanced to the point of the sheath from the descending aorta. Once in position, the sheath is retracted, and the device is opened inside the PDA. An angiogram is performed to ensure proper positioning, and if needed, the device can be repositioned or retrieved. Another angiogram may be done ten minutes later. If the device position is satisfactory, it is released.

What happens after the PDA device closure procedure?

After the PDA closure procedure, the patient must stay at the hospital for one day. So that the doctors can monitor their vitals. The next day, an X-ray and echo Doppler study will be done to confirm that the closure device has not moved. The patient is typically discharged after evaluation and kept on antibiotics. Antibiotic prophylaxis for subacute bacterial endocarditis is recommended for six months or until complete closure. The cardiologist may advise temporary restrictions on physical activity. 

What are the factors that affect the PDA device closure price?

Multiple factors are there that impact the price of PDA device closure.

Such as:

• Hospital fees, including operating and recovery room charges

• Fees charged by physicians, such as cardiologists and anesthesiologists

• Costs of medications and sterile dressings

• Ongoing evaluation and diagnostic procedures

• Price of necessary apparatus

• Follow up care expenses

Conclusion

Patent Ductus Arteriosus (PDA) has a significant impact on the quality of life of those living with it. This condition can cause discomfort and cause difficulty with daily activities. It is essential to seek medical help when PDA symptoms arise to prevent more severe health complications. Such as heart disease. Individuals should consult an experienced interventional cardiologist like Dr Asif for proper diagnosis and treatment. He is one of the top Interventional cardiologists in Hyderabad. His wide range of expertise ensures that any heart condition experienced will be treated effectively & efficiently, leading to improved quality of life for his patients. Get in touch with Dr Asif to get exceptional care at affordable costs.