The right doctor to consult for Patent ductus arteriosus (PDA) Device Closure is a Cardiac Surgeon.
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PDA Device closure is a minimally invasive procedure which is designed to close the ductus arteriosus.There are special heart doctors who are pediatric cardiologist use this procedure for placing a small device in vessels which closes the PDA.
Normally PDA closes within two to three days but in premature infants the opening make take longer time to close. If the connection is opened it is called as patent ductus ateriosus.
If PDA is of small size it may close on its own as child grows but PDA which causes symptoms will needs to be treated with medicine. The pediatric cardiologist will check from time to time whether PDA is closing on its own or not.
PDA is being closed with stitches or clips, problems does not occur after the procedure. If problem occur they may last longer and include hoarseness, infection, bleeding and fluid accumulation around the lungs. In some cases baby may need a machine to breathe for some time.
The prognosis of PDA is outstanding there are lot of people who have lot of problem with this in their long term.
You should close a PDA when it remains after birth in some babies it remains open for a shorter time period but after birth 90% will be closed by 8 weeks and the rest will be closed during the first year of life.
PDA ligation surgery is being done by a pediatric cardiologist.
PDA surgery takes one to three hours to be complete and after the procedure the child will be taken to the recovery room for one to six to eight hours to wake up from anaesthesia.
The surgery is done by a thoracotomy, from upper left side of the back chest is exposed and the surgeon separates the ribs and move the lungs for visualizing the PDA. The surgeon separates the ribs and moves the lungs so that PDA is visualized. After that surgeon either clips or ligates the PDA. This is a very straightforward surgery which has quick recovery.
All patients who have undergone this surgery should take antibiotics before any dental or surgical procedure for minimum six months after the procedure. The precaution is done to minimize the risk of any bacterial infection by forming in heart tissue.
A small PDA may close on its own when child grows a PDA that cause symptoms will need to be treated with medicine or surgery. If PDA does not close then it is needed to be fixed to prevent lung problems.
Your child is needed to stay in the hospital for minimum four to six hours after the surgery in some cases child is needed to stay overnight also.