Atrial Septal Defect (ASD) Repair cost in South Africa

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 After securing the mesh, the catheter is withdrawn.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

2 No. Travelers

5 Day in Hospital

15 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.

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Frequently Asked Questions

How much does Atrial Septal Defect (ASD) Repair cost in South Africa?

On an average, Atrial Septal Defect (ASD) Repair in South Africa costs about $5000. Many multispeciality hospitals which are COHSASA certified are approved to operate a Atrial Septal Defect (ASD) Repair in South Africa

What are the factors affecting the cost of Atrial Septal Defect (ASD) Repair in South Africa?

Different hospitals have different pricing policy when it comes to the cost of Atrial Septal Defect (ASD) Repair in South Africa. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. The Atrial Septal Defect (ASD) Repair cost in South Africa includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the Atrial Septal Defect (ASD) Repair cost in South Africa.

Which are some of the best hospitals in South Africa for Atrial Septal Defect (ASD) Repairt?

There are many hospitals across the country that offer Atrial Septal Defect (ASD) Repair to international patients. The top hospitals for Atrial Septal Defect (ASD) Repair in South Africa include the following:

  1. Ethekwini Hospital and Heart Centre
  2. Life Kingsbury Hospital
  3. Ahmed Kathrada Private Hospital
How many days does it take to recover post Atrial Septal Defect (ASD) Repair in South Africa?

While the speed of recovery may vary from patient to patient, they are still required to stay for about 20 days after discharge. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.

Which are some of the other popular destinations for Atrial Septal Defect (ASD) Repair?

While South Africa is considered to be one of the best destinations for Atrial Septal Defect (ASD) Repair owing to the standard of Hospitals, and expertise of doctors; there are a select few destinations which provide comparable quality of healthcare for the procedure Some of the other popular destinations for Atrial Septal Defect (ASD) Repair include the following:

CountryCost
IndiaUSD 5000
PolandUSD 6000
South AfricaUSD 5000
ThailandUSD 21500
TurkeyUSD 8000
United Arab EmiratesUSD 10150
How much are the other expenses in South Africa apart from the cost of Atrial Septal Defect (ASD) Repair?

There are certain expenses additional to the Atrial Septal Defect (ASD) Repair cost that the patient may have to pay for. These are the chanrges for daily meals and hotel stay outside the hospital. The per day cost in this case may start from USD 50 per person.

Which are the best cities in South Africa for Atrial Septal Defect (ASD) Repair Procedure?

Some of the cpopular cities in South Africa that offer Atrial Septal Defect (ASD) Repair include the following:

  1. Johannesburg
  2. Cape Town
  3. Lenasia
  4. Durban
How many days does one have to spend in the hospital for Atrial Septal Defect (ASD) Repair in South Africa?

After the Atrial Septal Defect (ASD) Repair takes place, the average duration of stay at the hospital is about 5 days. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

What is the average rating of Hospitals in South Africa offering Atrial Septal Defect (ASD) Repair?

The average rating for Atrial Septal Defect (ASD) Repair hospitals in South Africa is 2.9. This rating is calculated on the basis of different parameters such as attitude of the nurses, cleanliness, quality of food and the pricing policy.

How many hospitals offer Atrial Septal Defect (ASD) Repair in South Africa?

There are more than 3 hospitals that offer Atrial Septal Defect (ASD) Repair in South Africa. These clinics have proper infrastructure for the treatment of patients who require kidney transplant. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.

FAQ's Related to South Africa

Which are the popular multispecialty hospital groups in South Africa?

South Africa is one of the leading medical tourism destinations with top hospitals, such as:

  1. Ahmed Al-Kadi Private Hospital
  2. Busamed Hillcrest Private Hospital
  3. Busamed Gateway Private Hospital
  4. Busamed Modderfontein Private Hospital
  5. Busamed Lowveld Hospital
  6. Lenmed Ethekwini Hospital and Heart Centre
  7. Busamed Paardevlei Private Hospital
  8. Life Bay View Private Hospital
  9. Lenmed Shifa Hospital

Most of these hospitals have effectively met the below quality parameters:

  1. Providing clear information about medicines to patients
  2. Effective engagement between nursing staff/doctors and patients;
  3. Suitability of the hospital environment for meeting the needs of patients
  4. Effectively managing pain.

The hospitals are bound to provide quality treatment as the government of South Africa has framed strict healthcare rules to ensure there is no quality lapse. The patient-centric hospitals are equipped with superior infrastructure, high-tech medical equipment, and highly trained and qualified doctors, providing a unique patient experience.

What healthcare accreditation standards are followed in South Africa?

The healthcare system in South Africa is accredited by Joint Commission International (JCI) and Council for Health Service Accreditation of Southern Africa (COHSASA). COHSASA develops and evaluates standards in all areas and departments of a healthcare facility in order to make sure that integrated and coordinated care is provided. The SafeCare program launched by COHSASA, JCI, and SafeCare Foundation ensures the implementation of internationally recognized standards to improve health care delivery. Hospitals and clinics that initially and meet standards are awarded two-year accreditations and as the journey in excellence continues, awards of longer duration are given.

Why should I opt for healthcare in South Africa?

One of the leading medical tourism destinations, South Africa offers affordable healthcare and has superior infrastructure. South Africa has become the epicenter of medical tourism because of several other reasons like advanced technology, several facilities provided by hospitals, doctors trained abroad, and a large pool of accredited hospitals. South Africa’s recent advancement in stem cell therapy has made it one of the most preferred countries for seeking advanced medical treatment. The hospitals in South Africa strive to take the stress out of your medical holiday by helping you with all kinds of organization and administrative tasks, as well as provide all-inclusive care and assistance on a 24/7 basis.

How is the quality of doctors in South Africa?

The highly skilled and well-qualified doctors in South Africa ensure world-class treatment through their deep expertise and subject knowledge. Many doctors in South Africa receive their training in foreign countries like Australia and Cuba which provide them global exposure and make them more competent in handling cases with high precision and accuracy. The doctors have reported a high success rate in dental procedures and fertility treatments. The high quality of doctors in the country is attributed to factors like their patient-centric approach, incorporation of the human touch in treatment, education at reputed colleges, and adherence to global standards.

How to obtain a medical visa in South Africa?

You can get a medical visa to South Africa for 90 days. The High Commission of the country decides for how long a visa could be extended. Anyone willing to stay in the country for longer than 3 months needs to apply for a temporary residency permit. The validity of a visa begins the same day it is issued by the High Commission in South Africa. A visa application is accepted until 30 days prior to the departure date. Below documents are required for applying for a medical visa:

  1. Passport
  2. Passport-sized photographs
  3. Online Application form
  4. Full return flight reservation
  5. Proof of stay in South Africa
  6. Signed official medical letter from medical institution
  7. Signed medical letter from a recognized local practitioner
What are the popular procedures available in South Africa?

South Africa is known to offer some procedures with high success rates, such as total knee replacement, meniscus repairs, hip replacement, anterior cruciate ligament (ACL) reconstruction. Some other procedures which have gained popularity in South Africa are cosmetic surgery and infertility treatment. Egg donation program is available in South Africa and it is even possible to select your donor, as well as gives you the option of having a surgical or non-surgical procedure, all with very low waiting times. The reasons for the popularity of these procedures are affordable treatment cost, speedy recovery, use of advanced technology, and highly trained doctors.

Which are the most popular cities in South Africa for medical treatment?

The top-ranked cities that are most preferred by medical tourists in South Africa are Cape Town, Johannesburg, Pretoria, and Durban. Cape Town, which attracts a wide variety of people from different ethnicity and cultures, has world-class doctors and state-of-the-art medical facilities. The reasons for the popularity of these cities are multiple food options, connectivity through airlines, and cheap accommodation. Healthcare in Johannesburg is similar to Great Britain’s health care, and the city’s public and private healthcare sectors work hand in hand with South Africa's medical schools to create internationally recognized medical specialists.

Is it mandatory to take vaccinations before going to South Africa?

Yes, vaccination is mandatory before you travel to South Africa. Some of the vaccines recommended by WHO and the National Travel Health Network and Centre are Yellow fever, hepatitis A, rabies and tetanus, hepatitis B, typhoid, cholera. Make sure that infants of age 6 to 11 months get measles-mumps-rubella (MMR) vaccine before they travel to South Africa. People staying with friends or relatives or visiting smaller cities or rural areas should get typhoid vaccine. You need to keep yourself updated with vaccination guidelines issued by the government. Also, check with the doctor, the government authority, or hospitals in South Africa as to what vaccination should be taken.