Best Hospitals for Atrial Septal Defect (ASD) Repair

About Atrial Septal Defect (ASD)

An atrial septal defect (ASD) is a hole in the wall (septum) between the upper two chambers of the heart, known as atria. It is a congenital defect, that is, the defect is present at the time of the birth.

Some ASDs are extremely small and never cause any trouble. Some may close on their own during infancy or early years after the birth. However, for symptomatic ASDs, people may need treatment during their childhood or adulthood, depending on the severity of the symptoms.

ASDs may also go unnoticed or undiagnosed. However, symptoms such as breathlessness, swelling in the legs, heart palpitations, and heart murmurs can be a sign of ASD. Therefore, it must be repaired then and there.

How is Atrial Septal Defect Treated?

Atrial septal defects are repaired or treated through following two approaches. The ASD repair cost depends on which of these approaches are applied.

  • Transcatheter ASD Repair: This is a minimally invasive procedure, which is performed in a catheterization lab. In this approach, a catheter is passed from a blood vessel in the arm or groin area to reach the site of the defect. The mesh is placed on top of the defect to close it. After securing the mesh, the catheter is withdrawn.
  • Surgical ASD Repair: This approach is more common as compared to the transcatheter repair. In this case, the surgeon makes an incision in the chest to access the defect and place a patch to cover the hole. Before the surgery, the patient is put on a heart-lung bypass machine so that the surgeon can repair it.

The success rate of both approaches is more than 98 percent. However, transcatheter ASD repair has been associated with quicker recovery.

Factors Affecting the Cost of ASD Repair Surgery Cost

The following factors affect the Atrial Septal Defect repair cost:

  • The approach used for the repair
  • Size of the defect
  • Experience of the specialist
  • Choice of hospital or clinic
  • Location of the hospital or clinic
  • Age of the patient
  • Presence of other comorbidities
  • Duration of hospital stay
  • Other hospital charges
  • Unforeseen circumstances

Treatment and Cost

20

Total Days
In Country
  • 5 Day in Hospital
  • 2 No. Travelers
  • 15 Days Outside Hospital

Treatment cost starts from

USD 5000

166 Hospitals


Wockhardt Hospital, Umrao located in Thane, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • A 14 story building houses this hospital and it has a 350 beds capacity.
  • The hospital has a day care unit, dialysis unit, and digital documentation facility.
  • Treatment packages are available at the hospital as are Diagnostic and therapeutic services.
  • High end diagnostic services, 9 operation theatres and ICU facilities (24/7) are present.
  • Nephrology, Urology, Oncology, Orthopaedics, Cardiology, and Neurology departments in the hospital are worth a mention.
  • Minimal access surgery as well as Emergency & Trauma Surgery services are present in Wockhardt Umrao.
  • Comprehensive health check up option is available at Wockhardt Umrao.
  • It has all kinds of International patient care services including assistance for travel, transfer, accommodation and interpreters.

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15

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 5480 - 6220

FOR Atrial Septal Defect (ASD) Repair


Memorial Atasehir Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 22,000 sqm in the Anatolian side of Istanbul
  • The Hospital has comfortable patient rooms, designed while considering all the required needs of the patients
  • Capacity of 144 beds
  • Intensive Care Unit
  • Emergency Department

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30

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES


Medicana Bahcelievler Hospital located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 89 beds
  • 6 Operating Rooms
  • 2 Delivery Rooms
  • Coronary Intensive Care Unit
  • General Intensive Care Unit
  • Neonatal Intensive Care Unit
  • Dialysis Unit with 30 beds

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20

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

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Apollo Multispecialty Hospitals located in Kolkata, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • International patient Center
  • Focus on research and innovation
  • Different amenities: Transport, Security, Travel Desk, Places of Worship, Telecommunication Service, Special Nurse, Food & Dietary Services
  • Several kinds of rooms: General ward, Semi Private Rooms, Private Rooms, Deluxe, Super Deluxe, Suite, Maharaja Suite, HDU, Gastro ICU, Emergency, Neonatal ICU, Level 1, Level 2 & Level 3
  • Health Insurance coverage available
  • Here is a comprehensive list of the various kinds of key medical procedures performed through the latest technology.
  • Arthroscopy
  • Bone Marrow Transplant
  • Cosmetic Surgery
  • Da Vinci Robotic Surgical System
  • Fractional Flow Reserve (FFR)
  • Hand Microsurgery
  • Hip Arthroscopy
  • Minimally Invasive Cardiac Surgery
  • Minimally Invasive Subvastus Total Knee Replacement
  • Oral & Maxillofacial Surgery
  • 128 Slice PET CT
  • Bioresorbable Vascular Scaffold (BVS)
  • ECMO
  • OCT Technique - Optical Coherence Tomography
  • Single Port Endoscopic technique of Carpal Tunnel Release (ECTR)

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36

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 5480 - 6010

FOR Atrial Septal Defect (ASD) Repair


Medicana Konya Hospital located in Konya, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Providing services in a closed area of 30.000 m2
  • It has a total of 80 physicians (including 32 specialist physicians), 37 academicians, 8 practitioners, 1 psychologist and 2 Dieticians
  • General and Neonatal Intensive Care Units
  • Total bed capacity for 223 beds with 49 in general intensive care, 7 in cardiovascular surgery intensive care, 9 beds in coronary intensive care unit, 41 in NICU and 117 service beds
  • Operating rooms are equipped with the latest medical technologies & state-of-the-art equipment like IT, MRI (1.5 Tesla), Mammography, Ultrasonography, etc.
  • Laboratories and Imaging Units
  • UHA Unit for International Patients
  • Pharmacies on Duty
  • Hospital rooms are categorized as Standard rooms and Suite rooms
  • Rooms are fully equipped with basic needs of a patient and their relatives, like TV, Mini Fridge, Nurse call system, telephone, central air conditioning ventilation system, etc.
  • 24-hour cafeteria
  • Parking lot
  • Mens & Womens Place of worship

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23

DOCTORS IN 9 SPECIALITIES

6+

FACILITIES & AMENITIES


Canadian Specialist Hospital located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • A multispecialty hospital which is based in 7 stories of a building.
  • More than 30 specialised centres
  • It has over 35 specialties and 40 plus OPD clinics with 200 beds
  • 6 Operating Theatres as well as ICU, CCU, HDU, NICU
  • The most advanced lab & Imaging services
  • International patient care services
  • Option for Telemedicine to connect with the specialists

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21

DOCTORS IN 9 SPECIALITIES

6+

FACILITIES & AMENITIES


BGS Gleneagles Global Hospitals located in Bengaluru, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • The BGS Gleneagles Global Hospital at Kengeri has a capacity of 500 beds.
  • There are 14 operation theatres in this healthcare facility at Kengeri.
  • It is a technologically advanced hospital with imaging facilities, Transplant ICU.
  • A professionally managed International patient center caters to the huge influx of overseas patients.
  • Gleneagles Global Hospitals, Richmond Road is associated with the latest imaging services, pathology laboratory and in house pharmacy.
  • The Richmond Road hospital is a 40-bed healthcare specialty.
  • It specialises in preventive medicine options which makes regular health check ups a reality for patients.

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29

DOCTORS IN 14 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 5100 - 6160

FOR Atrial Septal Defect (ASD) Repair


Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.  

Let’s see some of the features of the infrastructure:

  • Spread over 15 acres, the hospital has 710 beds.
  • 6 beds dedicated to bone marrow transplant units with very strict infection control practices.
  • 64-Slice Scan coupled with data acquisition which provides highest temporal resolution
  • One of the hospitals to be using Da Vinci Robotics Surgery System
  • In South Asia, the Spect-CT and Pet-CT got their first installation at Indraprastha Apollo Hospital in India
  • Technologies such as PET- MR, BrainLab Navigation System, PET-CT, Portable CT Scanner, Tilting MRI, NovalisTx, Cobalt based HDR Brachytherapy, Hyperbaric Chamber, DSA Lab, Fibroscan, 3 Tesla MRI, Endosonography, 128 Slice CT scanner are all installed at the hospital.
  • The Cancer Institute at Indraprastha Apollo is equipped with a highly advanced Radiation Oncology Center with ClinaciX, NovalisTx, and HDR-Brachytherapy.
  • It is equipped with the largest Sleep Lab in Asia, & has one of the largest Dialysis Units in India.
  • A large number of ICU beds than any other Private Hospitals in India.
  • WIFI is accessible across the whole campus.

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61

DOCTORS IN 14 SPECIALITIES

5+

FACILITIES & AMENITIES

USD 5370 - 6040

FOR Atrial Septal Defect (ASD) Repair


Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Super-specialty healthcare facility
  • Started operations in July 2008
  • Video consultations with specialists
  • Various health checkup packages available
  • Technological applications in healthcare and healthcare delivery
  • Many ancillar services available like
    • ICU, NICU
    • Physiotherapy
    • Referral lab
    • Teleradiology / telemedicine
    • Pharmacy
    • Imaging facilities
  • Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.

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18

DOCTORS IN 12 SPECIALITIES

6+

FACILITIES & AMENITIES


VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Advanced hi-tech healthcare facility
  • Innovative diagnostic & therapeutic medical technologies
  • Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
  • Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
  • Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
  • Neurosurgery department: Keyhole Surgery for disc & other spine disorders, such as Spine Tumors, Navigation-guided, and Endoscopic Brain Tumor Surgery, Minimally invasive Brain Surgery, Advanced Head Injury Management with the ICP Monitoring
  • State-of-the-art-hemodialysis Units
  • Kidney Transplantation is done with Laparoscopic Donor Nephrectomy
  • 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
  • Joint preservation techniques include autologous chondrocyte implantation
  • Cutting edge operation theaters & world-class transplant ICUs
  • Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
  • Objective swallowing evaluation services such as functional endoscopic evaluation of Swallowing & Video Fluoroscopic Swallow

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23

DOCTORS IN 13 SPECIALITIES

6+

FACILITIES & AMENITIES

USD 5140 - 6370

FOR Atrial Septal Defect (ASD) Repair


Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
  • There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
  • The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
  • A very well developed Neonatal Intensive care unit.
  • Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.

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32

DOCTORS IN 9 SPECIALITIES

6+

FACILITIES & AMENITIES


Medicana Bursa Hospital located in Bursa, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an indoor area of 40,000 sqm
  • 22-storey building
  • Capacity of 300 beds (100 intensive care beds and 200 single rooms)
  • Intensive care units with general intensive care units (reanimation)
  • Operating rooms are available for all kinds of surgeries
  • Cardiovascular surgery ICU
  • Neonatal ICU (NICU)
  • Coronary ICU
  • Emergency room
  • Bursa Hospital provides a 5-star hotel comfort to its patients and their relatives
  • Cinema and Conference hall with Medical explanations
  • Rest areas
  • Cafeteria
  • Game and Hobby sections for children
  • Dining room (designed for 1000 employees)
  • Terrace Rest Area

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21

DOCTORS IN 11 SPECIALITIES

6+

FACILITIES & AMENITIES


American Hospital located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • This is a 254 bed hospital.
  • There are 40 medical and surgical specialties.
  • The hospital is recognised as a leading mulitspecialist healthcare organisation.
  • It possesses a fully functional Research & Innovation Hub and a Robotic Center of Excellence which are a sign of a progressive health facility.
  • The International Patient Center caters to a wide variety of patients from various nationalities who come here every year.
  • Also, there is an academic focus with programmes such as Service Excellence Programme and Life Support Training Centre etc.

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33

DOCTORS IN 12 SPECIALITIES

6+

FACILITIES & AMENITIES


Kaplan Medical Centre located in Rehovot, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Located in an area of 240 dunams of lawns, trees and lovely corners that provides the medical center pastoralism and tranquility, and soak up a relaxed atmosphere among our patients
  • Hearing and Speech Institute
  • Childrens Auditorium
  • Hybrid Catheterization Room
  • purchase of a new CT (256 slices)
  • In the coming years, it is planned to develop: a rehabilitative geriatric medical center, a maternity club, an eye clinic and a heart center - the largest in the Middle East
  • Blood Bank
  • Pharmacy services
  • Accommodation in Hospital Campus
  • Maternity club

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5

DOCTORS IN 6 SPECIALITIES

5+

FACILITIES & AMENITIES


NMC Specialty Hospital - Al Ain located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity for more than 82 beds
  • 7 Intensive Care beds
  • 13 Nursery beds
  • A well-equipped laboratory where tests are carried out by a centralized computerized system
  • The hospital has tied up with Biomnis, France for rare investigations and tests not available locally
  • Radiology Department with cutting-edge technology- a patient friendly open MRI (1.0 tesla), 64-Slice Spiral CT Scanner, 4-D Ultrasound with Color Doppler, Bone Densitometry, Mammogram, and Digital X-Ray systems backed by a fully integrated PACS system
  • 24-hour Emergency Clinic
  • 24-hour Ambulance Services
  • 24-hour New Medical Center Pharmacy
  • 100+ Doctors
  • 350+ paramedical personnel and nursing staff

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19

DOCTORS IN 10 SPECIALITIES

6+

FACILITIES & AMENITIES

About the Atrial Septal Defect (ASD) Repair

Holes in the heart are a type of congenital heart disease. Ventricular septal defect (VSD) and atrial septal defect (ASD) are the two most common congenital defects that may affect an individual. These occur due to structural malformation in the walls of the heart when these are developing at the fetal stage. ASD and VSD can be repaired and closed as soon as they are identified or right after birth. ASD is the hole in the septa that divides the two atrium and VSD refers to the hole in the ventricular walls. The holes allow the reverse flow of blood, thus, facilitating the mixing of pure and impure blood.

  • To understand the holes in heart we must briefly understand the working of the heart. The heart works like a pump beating on an average of 100,000 times in a day. It has two sides which are divided by a wall called septum. The right side of the valve pumps blood to the lungs and picks up oxygen. The oxygen-rich blood then returns to the left side of the heart from the lungs and then the left side pumps it to the rest of the body.
  • These two sides are divided into 4 chambers having four valves connecting them to various blood vessels. For carrying blood from the body to the heart, veins are responsible while arteries carry the blood away from the heart to be circulated to the body. The atria are two upper chambers that collect blood while ventricles are the two lower chambers pumping the blood to the lungs and other parts of the body.
  • The valves act like doors allowing a flow of blood through the next chamber to arteries and then they close to keep the blood from again returning back to the previous chamber from where it came. In a systolic contraction, the ventricles pump blood from the heart and in a diastolic contraction, the ventricles relax to receive blood pumped by the atria. The aortic and pulmonary valves close at the beginning of the diastole to prevent the chances of backflow. Thus, the presence of a hole in the septa may lead to mixing of the blood and interfere with the normal flow of blood circulation in the body.
  • An ASD is naturally present when the baby is still a fetus. But the hole closes on its own by the time of birth. However, in some cases, it may persist even after birth. An ASD can be of different types, including sinus venosus atrial septal defect, mixed atrial septal defect, ostium secundum atrial septal defect. A VSD, on the other hand, is usually detected in a baby or in an adult when a doctor observes a heart murmur. Certain tests such as an echocardiogram or electrocardiogram are performed to confirm its presence.

Typically, medications are administered to see whether ASD or VSD closes on its own. In case the defect does not close on its own and the individual continues to experience atrial septal defect symptoms such as breathing difficulties, heart murmurs, shortness of breath, and respiratory infections, then a surgery is recommended. The surgical procedure for atrial septal defect repair and ventricular septal defect treatment are almost the same, except the fact that different parts of the heart are targeted during the surgery.

How is Atrial Septal Defect (ASD) Repair performed?

Two different types of approaches can be used for ASD and VSD repair or closure, depending on the experience of the surgeon, the overall health of the patient, and certain other factors. The first is open-heart surgery and the second one is cardiac catheterization. Irrespective of the approach used, the patient is administered a general anesthetic so that he or she does not feel any pain and is asleep during the procedure.

Open heart surgery:

The main surgical approach used to repair or close ASD or VSD is open-heart surgery. It is conducted by making an incision in the chest and using surgical instruments to open the chest to gain access to the heart. The heart is then put on bypass, which involves connecting it to a machine that pumps blood to the body during the surgery. For the same reason, it is also known as the heart-lung bypass machine. The surgeon then repairs the hole by closing it with sutures or by placing a biological patch on it that mixes with the muscle. Once the hole is repaired, the chest is then closed and the incision site is closed with sutures.

Cardiac catheterization:

It is a minimally invasive procedure conducted using a catheter, which is inserted into the blood vessel of the groin. The catheter is then guided up to the heart and mesh material is placed over the hole through the catheter to close the defect. Once the repair is made, the catheter is removed.

Within a period of 6 months, normal tissues start growing in and around the mesh. Only a needle puncture is made in this procedure and hence this is less invasive as a procedure. This procedure is usually successful until and unless the hole is too large and only an open surgery can solve the problem.

Recovery from Atrial Septal Defect (ASD) Repair

Recovery from ASD/VSD Surgical procedure

The patient will be transferred to the intensive care unit (ICU) for a day or so for continuous monitoring. Antibiotics will be administered to the patient to prevent infections such as endocarditis. Regular checkups will follow for a while to ensure that the hole gets closed properly. To prevent the formation of blood clots, the patient may be given aspirin. Apart from all these, for the first few months, activities will be kept limited till that patient is fit enough to handle physical exertion.

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