PDA Closure - Off Pump/On Pump Treatment in India
About PDA Closure - Off Pump/On Pump
Key Highlights
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Corrects a common congenital heart defect to restore normal circulation.Off-pump technique minimizes surgical trauma and can lead to faster recovery.Prevents long-term complications such as heart failure, pulmonary hypertension, and infective endocarditis.Highly successful procedure with excellent long-term outcomes for children.Tailored surgical approach (off-pump vs. on-pump) based on individual patient anatomy and needs.
Who is this surgery for?
- Persistent, hemodynamically significant PDA in an infant or child causing symptoms like poor feeding, failure to thrive, or rapid breathing.
- Large PDA size that is unlikely to close spontaneously with medication.
- Evidence of left heart enlargement or pulmonary overcirculation on echocardiogram.
- Risk or presence of complications like recurrent lung infections, heart failure, or pulmonary vascular disease.
- Failed attempt at non-surgical, catheter-based device closure.
How to prepare
- Comprehensive diagnostic workup including echocardiogram, chest X-ray, and possibly cardiac catheterization.
- Pre-operative blood tests and a thorough physical examination by the pediatric cardiologist and cardiac surgeon.
- Discussion of the surgical plan (off-pump vs. on-pump), risks, and benefits with the family.
- Fasting for a specified period (typically 6-8 hours for solids) before the surgery as instructed.
- Management of any active infections and optimization of the child's overall health status.
Risks & possible complications
- Bleeding, infection, or adverse reaction to anesthesia.
- Injury to nearby structures like the recurrent laryngeal nerve (affecting voice) or the phrenic nerve (affecting diaphragm).
- Residual leak or re-opening of the PDA post-closure.
- Risks specific to on-pump surgery: complications from cardiopulmonary bypass, such as systemic inflammatory response.
- Arrhythmias (irregular heartbeats) during or after the procedure.
- Very rare risk of stroke or damage to the heart or lungs.
Recovery & hospital stay
- Initial recovery in the Pediatric Cardiac Intensive Care Unit (PCICU) for close monitoring of heart function, breathing, and vital signs.
- Pain management with appropriate medications to keep the child comfortable.
- Gradual introduction of feeding and fluids as the child recovers.
- Incision care instructions to prevent infection and promote healing.
- Follow-up appointments with the pediatric cardiologist for echocardiograms to confirm successful closure.
- Guidance on activity restrictions, typically avoiding strenuous play and contact sports for several weeks.
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Typical hospital stay:
5-10 days
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Expected recovery time:
3-6 weeks
Frequently Asked Questions
If you are considering pda closure - off pump/on pump in India, these questions and answers can help you make a confident, informed decision.
Popular choices for pda closure - off pump/on pump in India include Manipal Hospital Siliguri, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform pda closure - off pump/on pump. MediFyr helps you compare pediatric cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for pda closure - off pump/on pump compare across other countries where we have data.
Top hospitals for PDA Closure - Off Pump/On Pump in India
These partner hospitals in India have dedicated pediatric cardiac surgery teams and experience managing patients undergoing pda closure - off pump/on pump.
Siliguri, India
30 DoctorsMyra Mehta is a 2-year-old girl...
Myra Mehta is a 2-year-old girl from a small town. She was born prematurely at 32 weeks and spent her first month in the NICU. Her parents, first-time and anxious, were told she had a small Patent Ductus Arteriosus (PDA) that might close on its own. Over time, Myra struggled. She was always breathless during feeding, taking long pauses, and her weight gain was painfully slow. She tired easily and couldn't keep up with other toddlers. Her pediatrician heard a persistent murmur and referred her to a pediatric cardiologist. An echocardiogram confirmed the PDA was still large and significant, causing strain on her heart and lungs. The cardiologist recommended surgical closure. Given Myra's small size and the PDA's anatomy, they opted for an 'On Pump' procedure using the heart-lung machine to ensure a safe and precise repair in the still heart. For her parents, handing over their tiny daughter for open-heart surgery was terrifying. The surgery lasted four hours and was successful. Myra spent two days in the PICU and another five on the cardiac ward. The change was remarkable. Within weeks, her breathing was effortless, her appetite surged, and she began gaining weight and energy. The constant worry that shadowed her first two years lifted. Her parents' journey moved from fear and helplessness to profound relief and joy, watching their daughter finally thrive.
Pediatric Cardiac surgeons for PDA Closure - Off Pump/On Pump
Explore experienced pediatric cardiac surgeons who regularly perform pda closure - off pump/on pump and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 25 Years Experience
- Pediatric Cardiac surgeon
Artemis Hospital Gurgaon, Gurgaon
- 20 Years Experience
- Pediatric Cardiac surgeon
Artemis Hospital Gurgaon, Gurgaon
- 17 Years Experience
- Pediatric Cardiac surgeon
Artemis Hospital Gurgaon, Gurgaon