ASD or Atrial Septal Defect refers to the presence of an abnormal hole in the septum or the wall between the upper chambers of the heart. The size of the hole may vary from one person to another. It can be as tiny, just like the tip of the pencil or can be as big as the length of the septum.
You may not know the exact cause for the existence of this disorder. Some people are born with a hole in their heart. It sometimes closes automatically within the first year of the growth of infant while for others, the size of the hole may increase as time passes.
The disorder, if not treated on time, may even prove to be fatal. So, the cardiologists opt for a surgical procedure to treat this disorder which is known as ASD Closure.
The starting cost of ASD closure implantation in India is USD 4,200, and it can go up to USD 5,500 depending on the factors like:
Type of implant
ASD Closure refers to the use of Gore Cardio form Septal Occluder, a minimally invasive device for the closure of an ASD. It is possible to complete the surgery using cardiac catheterisation. The cardiologist uses a permanent implant for ASD Closure. ASD closure device consists of a wireframe that is covered with a protective membrane to avoid any risks and complications due to implantation of the device in the human body.
The cardiologists recommend ASD closure in patients, when The small holes in the heart do not close itself at a younger age The size of the hole in the centre is big and show some signs and symptoms, including: Cyanosis Breathlessness Inability to exercise continuously Loss of appetite Fatigue Intense chest pain at regular intervals Heart palpitations. There is nothing to worry about the surgery as it is minimally invasive and highly successful cardiac surgery. The Procedure for the ASD Closure Implant: Before undergoing a surgical procedure, the patient has to undergo specific tests and diagnosis to ensure the risk-free surgical proceedings. The analysis includes: Physical examination X-Ray for Chest Echocardiogram and Electrocardiogram. These tests help determine the: Electrical activity in the heart Rate of blood flow Heartbeat Size of the opening Overall condition of the heart The pattern of blood flow and disturbance in the path of blood due to atrial septal opening, if any. Surgical Proceedings: The treatment proceedings depend on certain factors that include: Size of the opening Location of the defect and The complexity of heart disorder. The small-sized hole does not require any surgical procedure, whereas, for a medium and large size opening, ASD closure is essential. There are two different types of procedures for ASD closure; they are: Open Surgery for ASD: In this process, the patient is under the effect of general anaesthesia. The cardiologists first provide the necessary support to the patient using a heart-lung machine. The surgical proceedings begin by making a massive opening in the right atrium. It does not require any catheter, but it is possible to perform the surgery under direct vision. The surgeons use a suture to close the medium openings, whereas the closure of huge holes requires a patch. The time required to accomplish open surgery for ASD closure is approximately two to three hours. These type of operations may require higher time for recovery and involve certain risks too. Minimally Invasive Surgery for ASD Closure: It is the first choice of treatment for cardiologists, wherever possible. For minimally invasive surgery also, the surgeons use general anaesthesia so that the patient does not suffer any pain during the operation. It is possible to close the opening in ASD through a small incision of 4 to 6 cm on the chest. To ensure the proper working of the heart, the cardiologists seek support from the heart-lung machine. To proceed with the surgery, the cardiologists use a retractor to open the space between the ribs and make space for the insertion of surgical instruments. It is possible to get a more unobstructed view of the heart with the use of an endoscope, and the surgeons seek the required assistance to close the opening. The cardiologists use the closure device to close the opening and use a catheter to place the device precisely without any difficulty. Once the hole is closed, the surgeon checks it using the endoscope and then closes the incision. This method does not leave any significant scar on the chest, and one can recover quickly after this surgical method. After the Surgery: The doctor may put the patient under observation for 48 hours. A patient needs to stay 3 to 4 days in the hospital after minimally invasive surgery and for up to ten days after open-heart surgery. The patient may have to suffer below symptoms for a few days post-surgery: Numbness Soreness Pain Itching and Tightness . These effects will heal with time, ointment and medicines prescribed by the medical professional. Usually, the patient requires six weeks to recover after minimally invasive surgery and six months for the patients of open-heart surgery for ASD closure. The patient must take complete rest after the surgery, even after he is discharged from hospital. You may exercise, but do not exert your body. Take medicine on time and visit a doctor as per scheduled appointments to avoid complications and recover at the earliest. Complications After ASD Closure Surgery: There are a few or no complications after minimally invasive surgery. However, for traditional methods of ASD closure implantation, there can be some considerable risks, including: Blood clotting Bleeding Displacement of the implantation from its original place Infection Rejection of the cardiac implant by the immune system of the body Allergy due to the use of the artificial device If you in need of assistance during your medical tourism to India, you can approach Denesa Health medical tourism company. They have experience in providing the best in class services to the healthcare travellers in India. They can help you in getting your medical visa, fixing an appointment with your choice of the cardiologist, availing treatment in top hospitals in India with individual cardiac centres and much more.
Atrial Septal Defect refers to the hole in the wall separating the upper chambers of the heart. The wall is called Atria. This defect is usually found in newborn babies. Due to this defect, the oxygen-rich blood cannot reach the other parts of the body. This blood leaks to the chambers that have poor content of oxygen. ASD is one of the significant cardiac disorders and requires immediate medical assistance. If the treatment is not done on time, it can prove to be fatal.
When the child is in the womb, there is an opening between the upper chambers of the heart and lung. It is necessary to detour the unwanted blood from the body. However, at the time of birth, the opening is no more required. So, this opening closes completely within a few weeks or months after birth. The opening keeps on reducing every day and finally closes completely. Well, in unusual cases, the opening is generally larger than the normal. In this condition, the gap does not fill completely. The cause for the larger opening between the heart chambers is unknown, and the result is ASD.
All the babies born with Atrial Septal Defect do not show signs and symptoms. Although, you might witness specific indication of Atrial Septal Defect in adults. Some of the common defects of ASD include: ● Shortness of breath ● Inability to do heavy physical activities, due to breathing issues ● Stroke ● Feeling of restlessness ● Dizziness ● Swelling in the limbs, abdomen and different parts of the body ● Severe heart disorders like skipped beats, heart palpitations and more.
If the doctor hears a murmuring sound in a child or an adult during checkup instead of regular heartbeat, it is a signal of ASD. They will complete the diagnosis process through different tests. Some of the common evaluation processes for the diagnosis of ASD include: ● EchoCardiogram: In this process, the sound waves produce a video image of the heart and the doctors can detect ASD. ● Chest X-Ray: The Chest X-Ray allows getting the image of Lungs and Heart. The image of the chest helps with the detection of ASD. ● Cardiac Catheterisation: The doctor inserts a thin catheter in the blood vessels. This catheter can be inserted in the body through the groin or your arm. This catheter is then guided towards the heart. It completely detects the problem in the function of the heart. Cardiac catheterisation monitors the blood pressure and determines possible congenital disorders. ● CT Scan: CT Scan refers to the series of X-rays of your heart. This process performs scanning of the heart from different angles, and locate the point of a defect in your heart. ● MRI: This diagnosis process creates the 3D images of your heart by making use of the magnetic field and the radio waves. It is one of the most significant tests for the evaluation of cardiac issues.
The cost of Atrial Septal Defect Treatment in India varies in the range of USD 4,200 to 5,500. It depends on the medical condition of the patient, and other factors, such as: ● Hospital preference ● Choice of surgeon ● Treatment fees, and ● The cost of medication as well as diagnosis.
Medanta The Medcity situated in the heart of the one of the most modernised and developed city of Gurugram in India. The hospital was inaugurated in the year 2009 by one of the most famous cardiac surgeons Dr Naresh Trehan, who had been practising...[Read more]
Artemis and Agrim Institute of Neurosciences was developed in the year 2007. It is the first hospital in India accredited with JCI and NABH. Apart from the cutting edge clinical treatments, Artemis is also involved in advanced healthcare research....[Read more]
BLK Hospital is a private-sector stand alone super speciality hospital based out of New Delhi, India. The hospital was established in the year 1959 in India. Although the founder had his own hospital in Lahore, Pakistan before partition since year...[Read more]
Dr Naresh Trehan, a world-renowned name in the area of a cardiovascular and cardiothoracic surgery. Presently he is the Chairman and Managing Director at Medanta- The Medicity Gurgaon. He has an experience of over 5 decades of...[Read more]