Atrial Septal Defect (ASD) Repair in India

Atrial Septal Defect (ASD) Repair in India

An atrial septal defect is a congenital abnormality of the upper chamber of the heart. This defect is present from the time of birth where the wall between the left and right atria doesn’t close completely. In the fetal stage, there is an opening between the two atria of the upper two chambers for the blood flow to the lungs but this opening generally closes by the time of birth. If ASD is persistent it is called a shunt. Every 4 people in 100,000 have a case of ASD and these people have an increased risk of multiple complications like infective endocarditis, stroke and heart failure.

ASD Treatment in India

ASD requires no treatment if symptoms like frequent respiratory infections in children, shortness in breathing and difficulty breathing are not persistent, this generally happens if the defect is small or of moderate size. Bigger defects of middle-aged people with the symptoms are treated with surgical closure. Newer treatment methods also involve the use of a closure device through the use of catheters. This device called the Amplatz device is placed across the ASD to close the defect. This process though is new and is not applicable to all the patients.

Cost Comparison

People from more than 20 countries including the UK, US, and Australia travel to India for treatment of ASD because of its efficient and robust healthcare services in comparison to developed countries. ASD surgery in India can cost from $15000-$20000 depending on the type of defect and treatment, whereas in the USA it costs $64,000-$70,000 for ASD surgery.

Treatment and Cost

30

Total Days
In Country

2 No. Travelers

7 Day in Hospital

23 Days Outside Hospital

Treatment cost starts from

USD 5000

Hospitals

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.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of India / Why should opt for India as a destination for your medical treatment?
India is a large country with a rapidly expanding system of healthcare. Like many other countries, there are public and private hospitals in India. This also includes healthcare at three levels.
  • The primary level of healthcare includes Sub Centres and Primary Health Centres.
  • At the secondary level are District Hospitals and smaller Sub-District hospitals. These are the first referral units, mostly from the primary healthcare centres.
  • Finally, the top level of health care provided is the tertiary level, which consists of Medical Colleges and Specialized Hospitals.
Since India boasts of housing a large number of people, the requirement for good healthcare and treatment in India is always there. And this also means prompt delivery of the service. Most of the treatment in India has to be offered at reasonable costs to enable people of all classes to access it. Hence, you can be assured that this country will be a great destination for your medical treatment whichever hospital in India you wish to choose.
What are the conditions of the hospitals in India? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
Here are some JCI certified hospitals in India:
  • Fortis Escorts Health Institutes, Delhi
  • Columbia Asia Referral Hospital, Bangalore
  • Fortis Hospital, Bangalore
  • Apollo Hospital, Chennai
  • Sri Ramachandra Medical Center, Chennai
  • Ahalia Foundation Eye Hospital, Kerala
  • Rajagiri Hospital, Kochi
  • Asian Heart Institute, Mumbai
  • Fortis Hospital, Mumbai
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai
  • SevenHills Hospitals, Mumbai
  • Apex Heart Institute (A Unit Of TCVS Pvt)
  • Apollo Gleneagles Hospitals, Kolkata.
  • Fortis Hospitals Ltd, Mulund, Mumbai
  • Narayana Multispeciality Hospital Jaipur (A Unit of Narayana Hrudayalaya Ltd.)
Hospitals in India are ever-changing to accommodate more people with up to date technology. Hospitals in India also attract patients from other countries because of their diverse range of services. Apart from allopathy and conventional treatment procedures, the government of India, along with the hospitals in India also promote alternative medical treatment options like Ayurveda, homeopathy, and yoga. All in all, you will find great options for any kind of treatment in India.
Are the doctors/surgeons in India of the best quality?
Doctors and surgeons in India have to get through examinations and continue to uphold the standard of education that is provided to them. Since doctors get exposure to various patients during their course, they are able to diagnose and treat a wide range of diseases and illnesses. Therefore, one can rely on the doctors of India for their medical services.
What is the process for obtaining a medical visa in India?
The e-Medical Visa for India is an online travel authorization for foreign nationals who wish to seek medical treatment in the country. A medical Indian visa allows the holder to enter the country 3 times.

The e-Medical visa is a short term visa granted for medical treatment reasons. This type of visa is only granted to the patient and not to their family members.

Foreign nationals can acquire an India e-Medical visa by filling in an online application form. This simple process can be done from the comfort of the traveler’s home or office, avoiding a trip to an embassy or consulate.

Applicants must submit their basic personal information, including their full name, nationality, and date of birth. They must also provide a contact email address and phone number as well as their passport details. Finally, some security questions must be answered.

The form is quick and easy to fill out. The approved India medical visa is then delivered to the applicant’s email address within a few business days.
What support services does MediGence provide in India?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in India for medical treatment?
India is a beautiful country spread across the vast expanse of the Asian subcontinent. Most of the metro cities have hospitals, in India, with varying levels of infrastructure. Depending on your need and medical service, you can visit your choice of city.
The capital of India is Delhi and has many renowned hospitals like the All India Institute of Medical Sciences, Max Super speciality Hospital Fortis Hospitals, etc.
Other cities offering effective medical care include Bangalore, Chennai, Mumbai, and Hyderabad. These cities come under some of the major metro cities of India.

Our team of healthcare experts would be happy to assist you

Get In Touch
or call

(+1) 424 283 4838