Palliative Treatment: Pulmonary Artery Banding

PDA - Patent Ductus Arteriosus Ligation:

Patent Ductus Arteriosus – Is a corrective surgical procedure for children whose Ductus Arteriosus is still open after birth. This defect can lead to congestive heart failure in children who are older and adults if not cured at the earliest.

Ductus Arteriosus - a minor vessel, persisting from the fetal structure of the heart in a newborn sometimes, it connects the aorta to the pulmonary artery.Called Patent Ductus Arteriosus (PDA) when open, and it allows blood to flow from the aorta into the pulmonary artery. After the closure of the PDA, the resulting fiber-like structure is called Ligamentum Arteriosum.

Patent Ductus Arteriosus and the Adult Patient:

Large PDAs are rarely discovered in the adult patient. They are often associated with high pulmonary blood pressures and pulmonary vascular obstructive disease (PVOD), if present. This may be the result of the left to right movement of blood from the aorta to the pulmonary artery through the open Ductus - PDA. This movement may result in enlargement (dilatation) of the left chambers of the heart, resulting in heart palpitations/Atrial fibrillation and/or failure of the heart.

The procedure:

The pediatric cardiologist makes a small incision on the left side of the chest through the ribs with the patient under general anesthesia. The surgeon either ties it off or has it divided and cut upon once he reaches the ductus arteriosus, the wound is closed and the patient is moved once the patent ductus arterious litigateion is successfully complete, the patient is eventually moved to the intensive care unit. The patient’s progress is monitored for several days. Similarly, the child is kept sedated if he/she is on a respirator. Fluids and medication are provided through the IV lines and nasogastric tubes during the recovery period in the ICU. To drain excess fluid, blood and air from the chest, Chest tubes may be used for this purpose. Urine is drained from the body with the help of a catheter in the bladder.

Pregnancy Issues:

Individuals with small PDAs, who were successfully treated in childhood without the development of other symptoms, do not pose any significant problems for pregnancy. Women with substantial left to right shunts and the enlargement of the left heart are prone to heart failures. These require careful monitoring while pregnant and immediately thereafter. It is common practice to administer antibiotics in order to prevent inflammation of the heart's interior lining (bacterial endocarditis) during the time of delivery. Individuals with large untreated PDAs might face difficulties during pregnancy i.e. with high mortality ratios for mothers and their unborn ones.

Individuals with congenital heart disease, repaired or non-repaired, need to consult with their cardiologist prior to becoming pregnant to contain risks.

The death rate of PAB is clearly associated more with the complexity of the heart defect and the total condition of the patients than with the procedure. Patients who are opting for PAB and a staged repair are often chosen as they are considered to fall under high risk to undergo definitive repair. Hence, the death rates from earlier groups have been high (at around 25%). A decreasing death rate with PAB could be related to improved operative skills and better patient selection and timing of intervention. Adding to this, there are gradual improvements in anesthetic and postoperative management. This has also resulted in a decreased death rate. The present mortality rates for PAB are reported to be as low as 3-5%.

Advantage - INDIA

India has some of the best-qualified professionals for PDA- ligation treatment, and this is now been realized the world over. With respect to medical facilities, India has the most competent doctors and world class medical facilities, on par with competitors worldwide. Of course, with most competitive charges for treatment, and is a very lucrative destination for people looking for a medical procedure of certain medical problems who really do not need immediate emergency treatment. Customer can find world class medical facilities, comparable with any of the countries abroad. It has state of the art hospitals with the best-qualified doctors on board, best of the best in infrastructure and medical facilities and with the most competitive prices to top it all, at an affordable pricing. Customers can be assured that they will be provided with the best medical treatment for PDA-Patent Ductus Arteriosus in India.