Pulmonary Arteriovenous Fistula Treatment in India
About Pulmonary Arteriovenous Fistula
Key Highlights
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Multidisciplinary management ensures comprehensive care for both mother and baby when a PAVF is present during pregnancy.OB/GYN coordination is vital for navigating the unique hemodynamic challenges of pregnancy with this condition.Early detection and planning can significantly reduce the risk of serious complications like stroke or hemorrhage during pregnancy or delivery.Facilitates the creation of a tailored delivery plan, which may involve specialized monitoring and a specific mode of delivery.
Who is this surgery for?
- Diagnosis of a pulmonary arteriovenous fistula in a pregnant patient.
- Presence of symptoms in a pregnant patient such as shortness of breath, hemoptysis (coughing up blood), or signs of paradoxical embolism (e.g., stroke).
- Planning for delivery in a patient with a known PAVF to minimize hemodynamic stress.
- Routine prenatal screening (e.g., ultrasound) revealing findings suggestive of a PAVF or its complications.
How to prepare
- Detailed consultation with the OB/GYN, interventional radiologist, and possibly a cardiothoracic surgeon.
- Comprehensive imaging studies, such as a contrast echocardiogram (bubble study) or CT angiography of the chest, to characterize the fistula.
- Thorough cardiac and pulmonary assessment to evaluate the mother's tolerance to pregnancy and potential procedures.
- Development of a detailed, written birth plan outlining the preferred mode and setting for delivery.
- Discussion of potential need for antibiotic prophylaxis to prevent infection if endocarditis is a concern.
Risks & possible complications
- For the Mother: Increased risk of stroke from paradoxical embolism, hemothorax (blood in the chest cavity), infection, or heart failure.
- For the Fetus: Risk of miscarriage, preterm birth, intrauterine growth restriction, or fetal hypoxia due to reduced oxygen exchange.
- Procedure-Specific (if embolization is performed during pregnancy): Radiation exposure to the fetus, allergic reaction to contrast dye, or failure to completely occlude the fistula.
- Delivery-Related: Increased risk of hemorrhage during or after delivery due to vascular abnormalities.
Recovery & hospital stay
- Post-procedure (if embolization is performed), the patient will be monitored in a recovery area for several hours for vital signs and potential complications.
- The OB/GYN will continue close antenatal monitoring with frequent ultrasounds to assess fetal well-being and growth.
- Activity may be restricted based on the size and location of the fistula; avoidance of strenuous activity and Valsalva maneuvers is often advised.
- Follow-up imaging is typically scheduled to confirm the success of any intervention and monitor for recurrence.
- Delivery will be planned at a tertiary care center with appropriate neonatal and maternal ICU support available.
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Typical hospital stay:
Varies (0 for monitoring only; 2-5 days if embolization is performed)
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Expected recovery time:
Ongoing until delivery and several weeks postpartum
Frequently Asked Questions
If you are considering pulmonary arteriovenous fistula in India, these questions and answers can help you make a confident, informed decision.
Popular choices for pulmonary arteriovenous fistula in India include Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, Manipal Hospital Mukundapur, SIMS Hospital Vadapalani, Manipal Hospital Dwarka, 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 pulmonary arteriovenous fistula. MediFyr helps you compare obstetrics and gynaecologists 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 pulmonary arteriovenous fistula compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 500 Thousand | Varies (0 for monitoring only; 2-5 days if embolization is performed) | ~ Ongoing until delivery and several weeks postpartum | Know More |
| Turkey | TRY 525 Thousand – 1.75 Million | Varies (0 for monitoring only; 2-5 days if embolization is performed) | ~ Ongoing until delivery and several weeks postpartum | Know More |
Top hospitals for Pulmonary Arteriovenous Fistula in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing pulmonary arteriovenous fistula.
Hyderabad, India
20 Doctors
Vikram Iyer, a 38-year-old software engineer...
Vikram Iyer, a 38-year-old software engineer and first-time expectant father, was thrilled about his wife Priya's pregnancy. During her routine 20-week anatomy scan, the obstetrician noticed Priya had low oxygen levels and subtle cyanosis (bluish lips). A subsequent echocardiogram revealed a previously silent Pulmonary Arteriovenous Fistula (PAVF), an abnormal connection between an artery and vein in her lung, which was now straining her cardiovascular system due to the increased blood volume of pregnancy. The obstetrician explained that the fistula posed significant risks: it could worsen Priya's hypoxia, cause a stroke from paradoxical emboli, or lead to heart failure, jeopardizing both her and the baby. The recommendation was for a minimally invasive embolization procedure to block the abnormal vessel before the third trimester. Vikram felt a surge of fear, his joy eclipsed by anxiety for his wife and unborn child. During the procedure, Priya was awake but sedated. Vikram waited anxiously, praying for their safety. The interventional radiologist successfully coiled the fistula. In recovery, Priya's oxygen saturation normalized almost immediately. Over the following weeks, monitored closely by her obstetrician, her energy returned and the pregnancy progressed healthily. Vikram's emotional journey shifted from terrified protector to relieved and grateful partner, his focus returning to the excitement of fatherhood, now with a profound appreciation for medical care.
Obstetrics and Gynaecologists for Pulmonary Arteriovenous Fistula
Explore experienced obstetrics and gynaecologists who regularly perform pulmonary arteriovenous fistula and provide pre- and post-operative care in India.
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Miot Hospital Chennai, Chennai
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Miot Hospital Chennai, Chennai
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Manipal Hospital Yeshwanthpur, Bangalore
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Manipal Hospital Yeshwanthpur, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Sarjapur Road, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Whitefield, Bangalore
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Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
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Manipal Hospital Old Airport Road, Bangalore