Tetralogy of Fallot is a rare heart defect, congenital in nature. Four heart disorders comprise to give rise to this condition. They are a ventricular septal defect where a hole exists between two ventricles, pulmonary stenosis that leads to the contraction of the exit from the right ventricle, an overriding aorta which causes the blood to enter the aorta from both ventricles and lastly the right ventricular hypertrophy that causes the right ventricle to expand in size.
The defect disturbs the normal blood flow through the heart and babies who are born with it generally have a bluish tint to their skin. Cyanosis i.e. the bluish tint occurs due to the low oxygen content in the blood. Another common symptom occurring in babies is ‘tet spells’ which happens during bowel discharge or crying.
TOF Surgery includes two main procedures to improve the flow of blood to the lungs. One is done via complete intracardiac repair where fixing the two heart defects resolves the complexities caused by the other two. Thus, surgically the pulmonary valve is replaced or expanded along with the widening of the channel from the right ventricle to the pulmonary artery. The ventricular septal defect is also repaired with an artificial patch.
The other practiced operative method is temporary or palliative surgery which facilitated to restore the normal functioning of the heart. In cases, where the babies are too weak to undergo the complete intracardiac method, a temporary surgery is done. This initiates the baby’s recovery over time and makes him/her stronger for the complete repair. In this method, the surgeon places a tube called a shunt between the aorta and pulmonary artery and the ends of the tube are sewn to the respective blood vessels. This creates a broader passage for the normal flow of blood and the shunt is later removed when the heart defects of the baby are fully repaired.
TOF Surgery is successfully performed in India where the pediatric cardiologists and surgeons after serious considerations decide the right age for the baby’s surgery. The acuteness of the condition and the baby’s overall physical health is also looked into. Pediatric surgery in India has made a remarkable mark in the field of cardiac science and the survival rates show that recovery is easy and assured. Eminent hospitals and proficient doctors with the help of advanced technology have made Tetralogy of fallout and other surgeries related to holes in the heart affordable compared to other countries. Thus, they cater to the dire needs of patients with low budget and provide a high quality treatment.
TOF happens to be the most common cause of congenital heart diseases and with improvement in medical science, surgery assures complete recovery. Surgical repair at the infancy stage itself, has led to long term survival. Thus, more people are getting repaired of this disorder and in India, 42 deaths have only occurred in a medical history of 25 years. Babies getting operated within 10 years of age are generally considered to lead a healthy and normal life. In certain cases, as the baby grows up, he/she might need an additional surgery as during the prior operation the pulmonary valve was not repaired. However, risks increase with age and might cause other heart difficulties. If left untreated by 20 years of age, can at times cause death also. Proper remedial care and regular follow-ups with the concerned doctor is required to avoid further health complexities. Often children are prescribed with antibiotics to avid infections that might cause inflammation in the heart, leading to deterioration of health in the post operative stage. Cost of TOF surgery in India is affordable and generally commences from $5029. The common method of treatment includes an open heart surgery where the cost ranges between 42000 to $6500 in a private hospital.
Low treatment costs attract patients from all across the world and keeping the concern of parents in mind, the hospitals provide high quality treatment. However, due to the complexities involved in the TOF operation and due to the sensitivity of the condition, cost of TOF surgery in India is comparatively a bit higher than the costs of other cardiac surgeries. The cost is also variable as it depends on factors like choice of the city and the hospital, the health condition of the patient, methods used and other related aspects. Yet, keeping these factors aside, the treatment package is budget friendly and generally comes to an average of $8000 while in USA it is estimated to be around $50000.
- Hospital Stay : 10 Days
- Single Room Cost: $7350
- Twin Sharing Cost: $6510
- Post Discharge Stay in India: 3 Days
Several medical units in India provide effectual TOF treatment at reasonable costs. The topmost hospitals in India that perform successful and effective heart surgeries of different types are:
- The Fortis Escorts Heart Institute, New Delhi.
- Artemis Hospital, Gurgaon.
- Max Super Speciality Hospital, New Delhi.
- Narayana Multispeciality Hospital, Bengaluru.
- Indrapastha Apollo Hospital, New Delhi.
- BLK Super Speciality Hospital, New Delhi.
- Sarvodaya Hospital, Faridabad.
- Global Hospitaks, Hyderabad.
- Kokilaben Dhirubhai Ambani Hospital, Mumbai.
- The Wockhardt Heart Institute, Mumbai.
Apart from the best means of treatment and a reasonable cost of operation, India has some of the world renowned cardiac surgeons who perform fruitful surgeries and render the required medical care to heart patients. Different advanced means of instruments are used in the surgery to avoid complications and the doctors.
Some of the most competent cardiologists and surgeons are:
- Dr. Ashok Seth (Fortis Escorts, New Delhi)
- Dr. Anoop K. Ganjoo (Apollo Indraprastha, New Delhi)
- Dr. K.K Talwar (Max Super Speciality Hospital,Saket)
- Dr. Naresh Trehan ( Medanta Medicity, Gurgaon)
- Dr. K R Balakrishnan (Fortis Hospital,Chennai)
- Dr. Vivek Jawali (Fortis Hospital, Cunningham Road)
- Dr. AGK Gokhale (Apollo Health City, Jubilee Hills)
- Dr. Manjinder Sandhu (Artemis Hospital, Gurgaon)
- Dr. Devi Prasad Shetty ( Narayana Institute of Cardiac Sciences, Bangalore)
- Dr. Ramakanta Panda (All India Institute of Medical Sciences, New Delhi)