The septum serves as a boundary between the two upper chambers of the heart. A defect in the septum is often referred to as the Atrial Septal Defect (ASD). This leads to the drainage of the oxygenated blood from the left atrium into the right atrium of the heart that is poor in oxygen. It is a congenital condition and surgery is often required to repair the atrial defects to prevent further damage to the body. Over time this condition might lead to a heart failure on the right side itself as it eventually weakens. It might also lead to a short life span and other heart abnormalities, if not treated properly. Atrial septal defects close naturally at childhood. Yet, for some the sealing is not a natural one and with age, surgery is recommended to such patients.
ASD repair v/s ASD closure
Depending on the size of the hole in the septum and also keeping in consideration the age and the general health of the patient, treatment is rendered to rectify the defect. Large or medium sized atrial septal holes are often treated by surgical procedures. Two prevalent methods of surgery for septal defect are the ASD repair surgery and ASD closure surgery respectively.
The ASD repair surgery requires the insertion of a thin surgical tube i.e. the catheter into the groin area. It is then guided into the heart region with the help of imaging technology. The catheter inserted aids in blocking the septal hole in the atrial chamber using a mesh or a suitable patch. The artificial mesh serves as a support for the tissues to grow around the hole and gradually seals it. However, ASD repair surgery is not fruitful in repairing large septal holes and can be applicable only in treating secundum atrial septal defects.
The other form of remedy is the ASD closure surgery which is generally an open heart surgery. The surgeon in this case makes an incision in the chest region of the patient and the heart is invaded to seal the septal hole with an artificial mesh. The different types of septal defects treated under this method are primum and sinus venosus types of ASD. Minimal invasive techniques can also be used to operate which performs smaller incisions for reaching the heart and fixing the hole in the atrial region.
ASD needs proper medication or surgery and if left untreated, can cause serious heart problems in the due course of time. When detected in children, doctors generally operate and tend to close the septal hole when they are aged between 2 to 5 years. Most patients including children generally experience a remarkable improvement after ASD closure. Closure surgeries are successfully done in majority cases, with rare occurrences of significant leakage.
Even in the repair surgical procedure, the recovery span is within 6 months. This method is easily performed and is less painful for the patients as it only involves only an incision in the skin from where the catheter is inserted. ASD repair surgery is a fruitful technique for children also. After, a certain period of time normal tissues grows around the device and as the child grows, no replacement is required for the closure of the artificial device. Thus, ASD surgery is safe and assures a fast and easy recovery. Bleeding and other infections are rare occurrences after the surgical process. However, for adults the risk of Arrhythmia increases after ASD surgery and regular checkups are advised for a beneficial remedial care.
Cost of ASD closure surgery in India is reasonable and the medical units also provide good quality treatment. Indian hospitals have experienced pediatric cardiac surgeons and cardio specialist doctors who perform complex heart surgeries with utmost care. The surgery is made even easier with the support of well trained and skilled medical staff. Besides, the major cardiac speciality hospitals possess the latest technology and advanced surgical equipments like robotic facilities and monitoring devices to ensure better recovery. Thus, cardiac care has significantly developed in India, attracting international patients suffering from different heart diseases to undergo effective treatment here. India also records a 99% success rate of complex heart surgeries, thereby winning the trust of one and all. Atrial Septal Defect surgery cost in India generally ranges between $3105 up to $10,557. The average price amounts to $7300. The surgical cost in India is comparatively lower by 60% of what a patient spends for the same treatment in the western countries. Also, the cost increases when the patient is undergoing an ASD closure treatment. The open heart surgery cost varies from that of the cardiac catheterization approach. The treatment price also varies with the following factors: the age of the patient, the technique used along with the charge of the catheter and also differs from one city to another. Besides the treatment provided by the private hospitals across India, some Government hospitals like AIIMS, Safdarjung Hospital and National Heart Institute all located in Delhi and Government General Hospital, Chennai also provide cheaper and effective treatment.
- Hospital Stay : 4 Days
- Single Room Cost: $6300
- Twin Sharing Cost: $5250
- Post Discharge Stay in India: 7 Days
The hospitals that are widely recommended across India for successful atrial septal defect surgery ( Repair or Closure) with an affordable treatment package are as follows:
- Max Healthcare, Panchsheel Park, New Delhi.
- Max Healthcare Hospital, Gurgaon.
- Kailash Hospital and Heart Institute, Noida.
- Fortis Escorts Hospital, Jaipur.
- Apollo Hospital, Chennai.
In India, we have proficient surgeons and cardiologists possessing years of experience and thorough knowledge on different heart complications. They provide effective and multidisciplinary remedial treatment as per the patient’s requirement. The most distinguished cardiac surgeons for ASD surgery are:
- Dr. Ashok Seth (Fortis Escorts Heart Hospital, Delhi)
- Dr. Naresh Trehan ( Medanta, Gurgaon)
- Dr. Ajay Kaul (BLK Super Speciality, Delhi)
- Dr. Majinder Singh Sandhu (Artemis Hospital, Gurgaon)
- Dr. S.K Sinha (Max Super Speciality Hospital, Delhi)