PDA Closure Package
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Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare
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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| PDA Closure Package | 4500 | Single | 4 days |
✓ Inclusion
- ✔Paediatric interventional cardiologist fees for transcatheter PDA device closure
- ✔Cath lab charges, angiography and standard consumables
- ✔Standard PDA duct occluder device (one)
- ✔Anaesthesia or sedation charges
- ✔4 days hospital stay in a single room
- ✔Routine medicines, IV fluids and antibiotics during the stay
- ✔Echocardiogram and ECG before discharge
- ✔Nursing care and hospital meals for the patient (and one parent for children, as per hospital policy)
- ✔Cardiologist visits during the stay
- ✔One follow-up consultation before flying home
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖Air tickets, visa fees and travel insurance
- ✖Hotel or guest-house stay before admission and after discharge
- ✖Pre-procedure consultation and tests before admission
- ✖Imported, special-size or additional devices / coils
- ✖Conversion to surgical ligation or other heart surgery
- ✖Extra ICU or hospital days beyond the package
- ✖Treatment of other heart defects or unrelated illnesses
- ✖Blood products and high-end antibiotics if needed
- ✖Attendant meals beyond hospital policy and personal expenses
- ✖Medicines to take home
Know More About Procedure & Surgery
🇮🇳 CARDIAC PACKAGE — INDIA
PDA Device Closure in India
Closure of a patent ductus arteriosus (PDA) – usually with a small device placed through a leg vein, without opening the chest – by paediatric cardiologists and heart surgeons at accredited Indian hospitals, for babies, children and adults.
✅ Free Medical Opinion in 48–72 h🫀 Catheter Device Closure – No Big Scar💰 Starting USD 4,500✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
1–2 hrs
Procedure time
🏥
4 days
Hospital stay
📈
95–99%
Complete closure
📅
7–10 days
Total stay in India
📖 What is PDA Closure?
Before birth, a baby does not breathe air, so blood bypasses the lungs through a small blood vessel called the ductus arteriosus. It joins the aorta (the main body artery) to the pulmonary artery (the lung artery). Normally it closes by itself within a few days after birth. When it stays open, it is called a patent ductus arteriosus (PDA). Extra blood then flows into the lungs, making the heart and lungs work harder. A large PDA causes fast breathing, poor feeding and weight gain, and chest infections; untreated for years it can cause high lung pressure (pulmonary hypertension) and heart failure.
PDA closure stops this abnormal flow. In most children over about 6 kg and in adults, it is done by transcatheter device closure: a thin tube is passed from a vein or artery in the groin to the heart under X-ray, and a small plug or coil is placed to seal the duct. Very small or premature babies and very large ducts may need surgical ligation, where the duct is tied through a small cut in the side of the chest.
🖼️ Understand It in Pictures
💡 In simple words
Before birth, a small vessel called the ductus arteriosus joins the two main arteries. It should close after birth. If it stays open (PDA), extra blood floods the lungs. It is often closed with a tiny plug placed through a thin tube; some babies need surgery.
Normal heart vs open PDA, and after closure
👀 Symptoms in Pictures
🩻 Scans & Tests — What Doctors See
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
Drawings: Satyug Healthcare (simplified, not to scale). Photos: Wikimedia Commons; author and licence under each photo.
🩺 Conditions Treated
🫀
Moderate to large PDA
Ducts causing heart enlargement, breathlessness or poor growth.
👶
PDA in infants
Babies with feeding problems, fast breathing or failure to thrive.
🧒
PDA in older children
Ducts found later from a murmur, closed to prevent long-term damage.
🧑
Adult PDA
Ducts discovered in adults, often with tiredness or palpitations.
🦠
Endarteritis risk
Ducts that raise the risk of infection of the vessel wall.
🔗
PDA with other defects
PDA treated with or before repair of other heart defects.
⚠️ Signs That May Need PDA Closure
- ➤Fast or hard breathing
- ➤Poor feeding and sweating during feeds
- ➤Slow weight gain
- ➤Frequent chest infections
- ➤A continuous heart murmur
- ➤Tiredness on exercise
- ➤Palpitations in older children and adults
- ➤Enlarged heart on X-ray or echo
💡 Not every PDA needs closure. In premature babies the duct often closes by itself or with medicines (ibuprofen or paracetamol). A very tiny 'silent' PDA with no murmur and no heart strain may only need watching. If lung pressure has become very high and fixed (Eisenmenger syndrome), closure can be harmful – the cardiologist checks this first.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| Echocardiogram (heart ultrasound) | Confirms the PDA, measures its size and checks heart size and lung pressure. |
| ECG | Checks heart rhythm and strain. |
| Chest X-ray | Shows heart size and extra lung blood flow. |
| Blood tests (CBC, kidney, clotting, blood group) | Check fitness for the procedure and anaesthesia. |
| CT angiography (selected cases) | Shows the shape of unusual or large ducts in older patients. |
| Cardiac catheter study | Done during the procedure to measure lung pressure and duct shape. |
🏥 The Procedure — Step by Step
1
Consultation and echo
The paediatric cardiologist reviews the echo and confirms closure is suitable.
2
Admission
Pre-procedure tests and fasting; children get sedation or general anaesthesia.
3
Groin access
A thin tube (sheath) is placed in the vein and artery at the top of the leg.
4
Angiogram
Dye under X-ray shows the size and shape of the duct.
5
Choosing the device
The cardiologist picks a duct occluder or coil of the right size.
6
Device placement
The device is passed through the catheter and opened inside the duct.
7
Checking the seal
Dye and echo confirm the duct is closed and nearby vessels are clear.
8
Device released
Once correct, the device is released and the tubes are removed.
9
Monitoring
Bed rest for a few hours, then normal feeding and play.
10
Echo and discharge
An echo next day confirms closure; discharge as per the 4-day package.
⚖️ Types & Techniques
| Technique | What is done | Best for |
|---|---|---|
| Duct occluder device | A self-expanding mesh plug seals the duct | Moderate to large PDA in children over about 6 kg and adults |
| Coil closure | A small metal coil blocks the duct | Small PDAs (under about 2–3 mm) |
| Surgical ligation (thoracotomy) | Duct tied or clipped through a small cut in the side of the chest | Premature or very small babies, very large ducts |
| Medicines (ibuprofen / paracetamol) | Drugs that help the duct close by itself | Premature newborns in the first days of life |
📊 Published series and AHA/ACC guidance (2018 adult congenital heart disease guideline) report complete closure in about 95–99% of patients after transcatheter PDA closure, with serious complications in under 1–2%.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India ✈️, airport pick-up, hotel check-in |
| Day 2 | Paediatric cardiology consultation, echo, ECG, blood tests – admission |
| Day 3 | PDA device closure in the cath lab |
| Day 4–5 | Monitoring, check echo, discharge (4-day stay) |
| Day 6–8 | Rest at hotel, normal play and feeding |
| Day 9–10 | Final review and echo if advised – Fly home ✈️ |
🌱 Recovery After Treatment
🛏️
Day 1
Lie flat for 4–6 hours; groin site checked; normal feeding later the same day.
🧒
Week 1
Normal light activity; keep the groin site clean and dry; no hard play or rough sports.
✈️
Week 1–2
Most children can fly home about 1 week after the procedure.
🏃
Week 2–4
Return to school and full activity as advised by the cardiologist.
🦷
6 months
Antibiotics before dental work may be advised for 6 months after device placement.
🩺
1, 6, 12 months
Echo check-ups to confirm the duct stays closed and growth improves.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Complete closure with device | About 95–99% |
| Serious complications | Under 1–2% |
| Need for repeat procedure | About 1–3% |
| Better feeding and weight gain | Most children within weeks to months |
| Long-term outlook after closure | Normal life expectancy in most |
Results are best when the PDA is closed before high lung pressure develops. The child's weight, the size and shape of the duct and the experience of the cardiology team all affect the choice of device and the result.
🩹 Risks & Possible Complications
Transcatheter PDA closure is one of the safest heart procedures for children.
- •Bruising or bleeding at the groin site – common, minor
- •Small leftover leak – about 2–5% early, most close within months
- •Device moving out of place (embolisation) – about 1%, usually retrieved by catheter
- •Narrowing of the aorta or left lung artery from the device – rare, mainly in small babies
- •Damage to the leg artery or vein – rare
- •Blood cell damage (haemolysis) from a leftover leak – rare
- •Infection – very rare
💰 Cost of PDA Closure in India
The cost of PDA closure in India starts from about USD 4,500. This package covers a 4-day hospital stay in a single room, the cath lab procedure, a standard PDA device, cardiologist and anaesthesia fees, routine medicines and nursing care. Imported or special devices and surgical ligation may cost more.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| PDA device closure (this package) | 4,500 | 4 days, single room | Standard duct occluder |
| PDA coil closure | 3,500 – 4,500 | 2–4 days | Small ducts |
| Surgical PDA ligation | 5,000 – 7,000 | 5–7 days | Small babies or very large ducts |
| Premium hospital / imported device | 5,500 – 7,000 | 4 days | Special device sizes |
⚠️ Final cost depends on the child's age and weight, the duct size, the device type, the need for ICU care and the hospital chosen. Quotes are confirmed after the specialist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔Paediatric cardiologist fees
- ✔Cath lab charges
- ✔Standard PDA occluder device
- ✔Anaesthesia or sedation
- ✔4 days in a single room
- ✔Routine medicines and echo before discharge
- ✔Airport pick-up & drop
- ✔Interpreter and coordinator
❌ Not Included
- ✖Flights and visa fees
- ✖Hotel stay after discharge
- ✖Tests before admission
- ✖Imported or special-size devices
- ✖Surgical ligation if needed
- ✖Extra ICU or hospital days
- ✖Treatment of other heart defects
- ✖Medicines to take home
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | Recent echocardiogram report (and video if available), ECG, chest X-ray, the child's age and weight, birth history (premature or not) and any previous cardiology notes. |
| 2. Free opinion & quotes | Within 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare. |
| 3. Choose hospital & doctor | We help you compare doctors, success rates, room options and total budget. |
| 4. Medical visa | The hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa. |
| 5. Travel planning | Flight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital. |
| 6. Treatment in India | Your coordinator and interpreter stay with you for admission, treatment, discharge and billing. |
| 7. Return & follow-up | Fit-to-fly letter, medicines, and online follow-up with your doctor after you return home. |
🎒 Travel Checklist
- 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
- 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
- 📌All echo, ECG and chest X-ray reports, images on CD / link, and prescriptions
- 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
- 📌Polio vaccination certificate where applicable
- 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
- 📌Foreigners staying longer than permitted must register with the FRRO — our team assists
⭐ Why Choose Satyug Healthcare?
🏥
Top Accredited Hospitals
Leading paediatric cardiac centres include Fortis Escorts Heart Institute (New Delhi), Medanta Gurugram, Max Saket, Amrita Hospital (Kochi and Faridabad), Narayana Health Bengaluru, Sir Ganga Ram Hospital, Apollo Chennai and Kokilaben Mumbai.
👨⚕️
Senior Specialists
Our partner paediatric interventional cardiologists and congenital heart surgeons treat large numbers of children with PDA and other heart defects, including many from Africa and the Middle East.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.
❓ Frequently Asked Questions
➤ What is the cost of PDA closure in India?
The package starts from about USD 4,500 for device closure with a 4-day stay in a single room. Coil closure may cost less; surgical ligation or special devices cost more. We send a written estimate after reviewing the echo.
➤ Is it open-heart surgery?
No. In most children and adults, the PDA is closed with a device through a thin tube from the groin. There is no chest cut and only a tiny mark in the leg.
➤ How long does the procedure take?
About 1–2 hours in the cath lab, under sedation or general anaesthesia.
➤ How long will we stay in hospital and in India?
The package includes 4 days in hospital. Plan about 7–10 days in India in total, including tests before and a check-up after.
➤ How successful is device closure?
Complete closure is achieved in about 95–99% of patients. Serious complications happen in under 1–2%.
➤ Is my baby too small for a device?
Devices are usually used once a child weighs about 5–6 kg, though some centres treat smaller babies with special devices. Very small or premature babies may need surgical ligation. The cardiologist decides after the echo.
➤ Will my child need medicines afterwards?
Usually only simple medicines for a few days. Antibiotics before dental work may be advised for 6 months. Long-term heart medicines are rarely needed.
➤ Can adults have PDA closure?
Yes. Adults with a PDA causing heart strain can have device closure, as long as lung pressure is not too high and fixed. Tests in the cath lab check this.
➤ When can my child go back to school and play?
Normal light activity in a few days, and full activity, school and sports within 2–4 weeks.
➤ When can we fly home?
Most children can fly about 1 week after the procedure, after the final check-up.
➤ What happens if a PDA is not closed?
A large PDA can cause poor growth, repeated chest infections, heart failure and permanent high lung pressure. Closing it in time prevents this.
➤ Can parents stay with the child?
Yes. One parent can stay with the child in the room. Two attendants can come on a medical attendant visa; we send the invitation letter.
➤ What follow-up is needed at home?
Echo check-ups at about 1, 6 and 12 months, which can be done locally. Our cardiologists review the reports by video or email.
➤ Will we get language support?
Yes. Free interpreters for Arabic, French, Russian and other languages, and a coordinator throughout your stay.
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766 | +91-9910655125 | ✉️ query@satyughealthcare.com
Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: NCBI StatPearls: Patent Ductus Arteriosus; AHA/ACC 2018 Guideline for Management of Adults with Congenital Heart Disease; American Heart Association: Patent Ductus Arteriosus; Cleveland Clinic; Mayo Clinic; NHS. Infographics: Satyug Healthcare.
Frequently Asked Questions
After birth, the ductus arteriosus normally closes within two or three days. In premature infants, the connection often takes longer to close. If the connection remains open, it's referred to as a patent ductus arteriosus. The abnormal opening causes too much blood to circulate to the baby's lungs and heart.
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PDA device closure in India from USD 4,500 – no open-heart surgery, expert paediatric cardiologists, 4-day stay, 95–99% closure rate, free opinion.
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