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PDA in 3months baby. Should we operate it?

Resolved Question:

1 year 3 months old healthy baby having 2.6mm PDA, Should we wait for one more year for chances of automatic closure Or should we get it operated with device closure? d


Category: Pediatrician

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Category: ICU/ Critical Care Specialist
Dr. Saptharishi L G is online now

Expert:  Dr. Saptharishi L G replied 4 Days.

Dear Mr. Rawat,
Thank you for your query at DoctorSpring.com
I can understand your concerns. Have also gone through the attached reports and images.
It is absolutely clear that your child requires an elective PDA closure to avoid any further complications on the heart. As you can see from the report, the PDA is already causing significant left to right shunting and dilatation of the left sided chambers. It is better to get the problem corrected as soon as possible. It is very unlikely, in my opinion that this PDA would close by itself at this age.
Regards
Dr. Saptharishi L G


Patient replied :

Hi Dr. Saptharishi,
Thanks for the advice.
Do you think if there is any risk involved in going for device closure for PDA? or any long term side affects of having PDA closure coil in the body?
Can she do physical activities after the procedure?
Do we need to remove the PDA coil after 2-3 years?
Will this PDA duct will dry off after PDA coil block the passage?
What are the chances of pda coil move its position after 2-3 years, will she again have PDA or this duct will be dry off after pda coil closure and there is no chance of PDA again even if coil moved from its original position?

Thanks for your time for asnwering my queries.


Expert:  Dr. Saptharishi L G replied 3 Days.

Dear parent,
Your concerns are genuine. These are the common questions from almost all parents.
In medicine, everything is a balance of risk and benefit. The PDA coiling procedure has its risks but those risks are miniscule in comparison to open heart surgery. But, there is risk of bleeding, coil related problems, etc. These are very uncommon (less than 1 percent). But, in an individual child, no one knows if he or she would get any of these complications. But, we need to understand that the child is going to have more problems as the child grows up due to the PDA. It can lead to heart failure and changes in the pulmonary circulation such as pulmonary hypertension. You can also read up about complications of untreated patent ductus arteriosus.
Regarding the PDA coil, it ll block the vessel and cause thrombosis. Once there is clotting, there is very little chance that there will be subsequent dislodgement. After her recovery from the procedure, she can lead a normal life. Absolutely normal life.
There is very less chance that there would be a recurrence. In our experience, we have not seen a recurrence. Complications are very very uncommon especially in good hands. Please do not worry and get the procedure done.


Dr. Saptharishi L G
Category: ICU/ Critical Care Specialist
Experience: 
Senior Residency: DM,  Pediatric Critical Care, PGIMER

Residency: MD, Pediatrics, Postgraduate Medical Education & Research (PGIMER), Chandigarh, 2013

Internship: JIPMER, 2009

Medical School: MBBS, Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, 2008
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