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Does PDA require surgery?

It may also be done if another treatment for PDA isn't possible or didn't work. Some babies have the surgery as soon as the problem is found. Other times, surgery is delayed until a child has symptoms or until a child is healthy enough to have surgery.

myhealth.alberta.ca - Learning About Patent Ductus Arteriosus (PDA) Surgery in Children

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Learning About Patent Ductus Arteriosus (PDA) Surgery in Children

What is it? Patent ductus arteriosus (PDA) surgery is done to close a blood vessel called the ductus arteriosus. Normally, this blood vessel closes after birth. But in PDA, it stays open. This causes some of the blood that should go from the heart to the body to go to the lungs instead. PDA surgery allows blood to flow normally through the blood vessels and the heart. It's done when the opening is large enough that it causes symptoms such as trouble breathing. It may also be done if another treatment for PDA isn't possible or didn't work. Some babies have the surgery as soon as the problem is found. Other times, surgery is delayed until a child has symptoms or until a child is healthy enough to have surgery. How is it done? Before surgery, your child will get medicine to make your child sleep. PDA surgery is done on the blood vessel, not the heart. The doctor will make a cut (incision) on the side of the child's chest between the ribs. Next, the doctor will use small tools between the ribs to close the blood vessel with stitches or clips. Then, the doctor will close the incision with stitches. Afterward, your child will get medicines for pain. Your child may have a chest tube to drain air and fluids out of the chest as the incision heals. After the surgery, your child may be taken to a recovery room or to the pediatric intensive care unit (PICU). As your child wakes up, the staff will monitor your child's condition and watch for signs of infection or complications. The doctor will talk to you about the surgery. The hospital staff will help your child recover. They will also support you. What can you expect after the surgery? Most children spend a few days in the hospital. Your child may need special care, such as being in the pediatric intensive care unit (PICU). You may see tubes and wires attached to your child. This can look scary. But these things help the staff take care of your child. The tubes may supply oxygen, fluid, or medicine. The wires are attached to machines that keep track of your child's pulse rate and other vital signs. The staff will answer any questions you have. How long it takes your child to recover may depend on your child's age. It may also depend on any other health problems your child has. After surgery, your child will likely feel better. You will get instructions about helping your child recover. They will cover things like diet, incision care, medicines, follow-up care, and activity.

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How much does PDA surgery cost?

The cost of PDA ligation for your puppy will range between $2, 700 to $3,300. This will include various scans and imaging before and after surgery such as echocardiogram and ultrasounds. This cost also includes the anesthesia and surgical procedure itself, as well as post-operative medication and care.

wagwalking.com - PDA Ligation in Dogs - Conditions Treated, Procedure, Efficacy ... - Wag!

To prepare for PDA ligation, you will need to withhold food or water from your puppy for the period of time recommended by your veterinarian. This is due to the potential for aspiration pneumonia that may occur when a dog undergoes anesthesia. Your vet will also want to perform a pre-surgical bloodwork panel in order to confirm the puppy is healthy and isn’t suffering any underlying conditions. Your dog will need to be admitted to the veterinary hospital, where they will need to stay for several days post-surgery in order to recover. Your puppy will need to be unconscious during the procedure and will be administered anesthesia in a dose appropriate for their body weight. During the procedure, the surgical specialist will make a careful incision to obtain access to the heart cavity. The first and most traditional method for ligation is for the surgeon to carefully tie off with sutures, and then remove the inappropriate duct. A secondary, and more modern, method involves placing a metal coil within the duct which blocks blood flow. Depending on your puppy’s size and condition prior to surgery, the coil method may not be an option.

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