ASD (Atrial Septal Defect) Closure Surgery In India

ASD(Atrial Septal Defect) Closure Surgery is a common type of congenital heart disease sometimes called a hole in the heart in which there is an abnormal opening in the wall between the upper chambers (left and right atria)

of the heart.

Usually, the defect may become smaller over time and close on its own. If not, it can be easily repaired with minimally-invasive techniques or surgical procedures

Signs and symptoms of ASD :- usually have a Heart murmur

Depending on the size of the atrial septal defect closure patient may experience symptoms like:

  • Breathlessness
  • Fatigue
  • Poor appetite
  • Heart palpitations
  • Decrease in exercise capacity
  • Cyanosis

Risks and Complications of ASD?

ASD, if left untreated or diagnosed later, may lead to serious complications. Some of the fatal cardiac events that may result because of ASD include the following:

 

  • Heart failure
  • Arrhythmias
  • Heart stroke
  • Pulmonary hypertension

Signs and tests

There may be a palpable pulsation of the pulmonary artery in the chest. Examination with a stethoscope (auscultation) of the heart usually reveals abnormal heart sounds. There may be a murmur caused by the increased blood flow across the pulmonic valve, and signs of heart failure. If the shunt is large, increased blood flow across the tricuspid valve (between the right atrium and ventricle) may be responsible for an additional murmur.

Tests that may be performed in the diagnosis of ASD include:

  • Chest x-ray
  • Echocardiography (ultrasound of the heart)
  • Doppler study of the heart
  • Transesophageal echocardiography (TEE)
  • Cardiac catheterization
  • Coronary angiography (for patients over 35 years old)
  • MRI of chest
  • ECG – may show atrial fibrillation, right atrial enlargement, or a pattern of delayed electrical conduction in the heart.

Treatment for Atrial Septal Defect closure Surgery In India

Depends on the size, location, and severity of the defect.

Very small ASDs might not need any treatment, except active surveillance.

Medium-to-large-sized ASDs If left untreated may cause mild to life-threatening problems like Right-sided heart failure, stroke etc so need closure by device or surgical correction.

Minimally Invasive Surgery for ASD repair -Surgeons perform the operation by making only a small incision on the chest, an endoscope is inserted that provides a high-resolution image of the heart and the ASD. Advantages are quicker recovery, minimal scarring.

Transcatheter Atrial Septal Defect closure -Closing the defect using catheter inserted through blood vessel .There’s a small risk of blood clots forming on the closure device while new tissue heals over it, medications given to prevent blood clots

After ASD closure it’s unlikely that more surgery will be needed, however regular monitoring with tests like echocardiography, ECG, stress test etc is essential.

Don’t let diagnosis of ASD scare you, its treatment is quite safe and effective when timely performed .

Frequently asked Questions (FAQs) about ASD Closure Surgery in India

Q. How much does ASD Closure Surgery Cost in India?
The cost of ASD closure surgery ranges from $3500 – $5500 in India.

Q. What is the percutaneous closure device?
A percutaneous closure device is a specialized device used to treat patients with atrial septal defect and patent foramen ovale (PFO). In a catheterization procedure, this device is attached to the end of a catheter which is inserted through a vein in the leg and released at the site of the defect to close the hole.

Q. Is a PFO the same as an ASD?
Atrial Septal Defect and Patent Foramen Ovale are both birth defects in the septal tissue present between the left and right atria of the heart. ASD is a heart defect that one is born with due to the failure of formation of septal tissue between the atria while PFO only occurs after birth when the foramen ovale, a flap-like valve, fails to close.
An ASD hole is larger than that of a PFO and therefore, more likely to present symptoms.

Q. How does an atrial septal defect occur?
Congenital heart defects occur due to failure or errors in the development of heart during the foetal stage. Certain factors like gene defects, chromosome abnormalities and alcohol and drugs uptake by the mother during pregnancy can increase the risk of ASD in the baby.

Q. Can a hole in the heart cause a stroke?
Heart defects like ASD and PFO can possibly lead to a stroke. This can happen because the blood clot or a solid particle in the blood can move from the right side of the heart to the left side through the abnormal opening in the septal wall and then travel to the brain, causing a stroke.

Q. Is ASD life threatening?
A small atrial septal defect may never cause any problems because it often closes during infancy. The larger defects can cause a number of complications ranging from mild to life-threatening, including right-sided heart failure and stroke.

Q. Can atrial septal defect be inherited from family?
Congenital heart defects appear to run in families and sometimes occur with other genetic problems, such as Down syndrome.

Why choose an Indian Hospital for Congenital Atrial Septal Defects Surgery (ASD)?
Indian hospitals have scaled the popularity charts as far as Low cost Congenital Atrial septal defect surgery in India is concerned.
Most of the hospitals in the country are well equipped with the latest in technology and the surgeons have a proven track record of having been part of several successful surgeries.
When it comes to surgery related to the heart, the safety and the comfort of the patients is top most on the agenda and the Indian hospitals are the perfect role model in that regard.

Q. Can a patient live with ASD?
If the hole is small, the patient might not have any medical problems or it may even close on its own during childhood. The medium and large sized defects can have significant impact on the performance of the heart and lungs. This is because the oxygen-rich blood from the right atrium leaks into the left atrium with oxygen-poor blood and gets pumped back to the lungs, causing increased work-load for the heart.

The larger opening in the septa can cause serious complications and therefore, it must be closed surgically by an experienced cardiac surgeon. For a smaller ASD defect, cardiac catheterization is typically suggested as the primary treatment. But for a larger ASD defect, heart surgery is considered as the best possible option. Minimally invasive ASD heart surgery in India has a high success rate and is carried out by extensively trained and experienced doctors.