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PDA Device Closure Cost in India

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PDA Device Closure Cost in India

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PDA Device Closure Cost In India

For A Patient From United States

PDA Device Closure Price USD 4,200 No. of Travellers 2 Days in Hospital 4 Days Outside Hospital 7 Total days in India 11

PDA Device Closure

Patent ductus arteriosus (PDA) is a common congenital heart disease. Every baby is born with a ductus arteriosus. After birth, the opening is no longer needed and it usually narrows and closes within the first few days of life. Failure to do so results in Patent Ductus Arteriosus (PDA) which allows blood to flow from the aorta to 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.


Recommended: PDA Device Closure with and without Arterial Access

Cause of Patent Ductus Arteriosis (PDA)

The exact cause of patent ductus arteriosus isn't known, could be a genetic defect. PDA is more commonly seen in:

  • Premature infants
  • Infants who have genetic conditions such as Down syndrome
  • Infants whose mothers had rubella during pregnancy
  • PDA is twice as common in girls as it is in boys


Indication for PDA closure

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


Signs and Symptoms

Depends on size of PDA:

  • If PDA is small, a specific Heart murmur also called machinery murmur may be the only sign of patent ductus arteriosus (PDA). 
  • If Large PDA, apart from the murmur, some may develop signs or symptoms
    • Breathlessness. 
    • Poor feeding and poor weight gain
    • Easily tired 
    • Easy Sweating like with feeding


Diagnostic Tests

  • Echocardiography (echo) 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

  • Regular monitoring and Medications, 
  • Surgery
  • Transcatheter closure of PDA using the occluder device has been shown to be safe and efficacious.


Helpful: Pediatric PDA Closure Devices


Before Procedure 

  • Medical history noted and clinical examination of the child performed 
  • Adviced general tests to check for fitness of surgery 
  • Counselled regarding the procedure

During Procedure

  • Procedure usually takes about 1 to 3 hours.
  • Usually performed in cardiac catherization lab. 
  • Access in the femoral vein is obtained with placement of a sheath. A  sheath is placed in the femoral artery.
  • The device is then advanced to the tip of the sheath in the descending aorta The sheath and device are then pulled back into a position.
  • When good position is achieved, the sheath is retracted further and the tubular part of the device is opened within the PDA.
  • Angiogram is performed in the descending aorta to confirm final device position up to this step, the device can be repositioned or retrieved if the angiogram showed significant residual flow. 
  • Occasionally a repeat  angiogram is performed in the descending aorta ten minutes after. 
  • If device position is satisfactory, the device is released. 

After Procedure

  • The patient is hospitalized for a day to monitor the vitals.
  • An X-ray and echo doppler study performed the next day  after the procedure to make sure the closure device has not moved.
  • Usually discharged  after evaluationand kept on oral antibiotic.
  • Subacute bacterial endocarditis prophylaxis is recommended for six months or until complete closure is obtained.
  • Cardiologist may advise some physical activity restrictions for a short time. 
  • Pregnancy is low risk in patients with PDAunless  there is pulmonary hypertension or signs of heart failure. 
  • Follow-up the patient includes clinical evaluation, transthoracic echocardiography and CXR done at regular intervals. 



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 about 95% success rate. The long-term outlook is good and usually, no medicines and no additional surgery or catheterization are needed.


Factors Affecting the Cost of PDA Device Closure

Following are the factors which will affect the treatment cost: 

  • The hospital patient is opting for
  • Operating room, recovery room charges
  • Fee for the team of doctors (Cardiologists, Anesthesist etc)
  • Medicines and sterile dressings  
  • Standard test and diagnostic procedures
  • Cost of Device
  • Cost of follow up care 

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Author Name
Dr. Kavreen Arora

Published Date
: 01-Oct-2016

Dr. Kavreen Arora

Dr. Kavreen studied medicine and actively practised for few years before she decided to share her knowledge through medical blogs and articles. Since then, Dr. Kavreen has written several articles about the recent advances in various medical treatments, life expectancies, and the best hospitals & doctors across the nation. 

She is a keen observer and likes to keep herself updated with the new technologies. She is an avid reader and an earnest writer in the medical field.

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