Atrial Septal Defect (ASD) Repair Cost in Pune

Closure for ASD is to repair a tear in the middle wall (septum) between the heart's atria. It is performed in adults to prevent complications like arrhythmias, stroke, pulmonary hypertension, or heart failure if the defect is large or symptomatic.

Consulting with a cardiologist in the presence of unexplained fatigue, shortness of breath, or palpitations is key. Known heart murmurs, especially those discovered late in life, should be evaluated. Adults who have had a stroke or transient ischemic attack (TIA) without a cause should also have screening for ASD. In some cases, ASDs are found incidentally during imaging for unrelated problems, requiring follow-up evaluation to determine whether treatment is indicated.

Preparation includes an echocardiogram (TTE or TEE), cardiac CT or MRI, and possibly cardiac catheterisation. Anesthesia evaluation and blood work are also performed. Before undergoing the procedure, you will need to abstain from some drugs and have no food.

The two essential approaches to repairing an atrial septal defect (ASD) include catheter-based closure of the defect through deployment of a device like the Amplatzer Septal Occluder, introduced through a catheter inserted through a vein (usually a femoral vein) into the right heart to seal the septal hole completely. This procedure is minimally invasive, suitable for the majority of ASDs and left open for an occasional surgical approach. The other approach is reserved for very large or complex defects, requiring opening the chest and supporting the heart-lung machine.

A catheter-based closure of ASD takes 1 to 2 hours. Surgical repair takes 3 to 4 hours, with a longer hospital stay and recovery.

• Device migration
• Arrhythmias
• Infection
• Stroke
• Bleeding
• Residual shunting.
• Anesthesia complications
• Scar formation

Closure decreases the risk of stroke, right heart enlargement, arrhythmias, and heart failure, and usually enhances exercise tolerance and quality of life. It may also prevent long-term lung and heart damage.

Recovery time depends on the specific procedure performed. Patients generally return to regular activities within a few days to a week after catheter-based closure. Surgical repair usually requires a hospital admission of 3-5 days, while recovery will last about 4-8 weeks, during which time limitations on vigorous activities will be implemented.

Closure of an ASD has very high success rates. Catheter closure has a success rate of over 95%, with few complications and a speedy recovery. Surgical closure is equally effective in very large or very complex ASDs.