Atrial Septal Defect (ASD) Repair cost in Tunisia

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 After securing the mesh, the catheter is withdrawn.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
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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

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

Atrial Septal Defect (ASD) Repair package cost in Tunisia has different inclusions and exclusions. Some of the best hospitals for Atrial Septal Defect (ASD) Repair offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The Atrial Septal Defect (ASD) Repair cost in Tunisia includes the cost of anesthesia, medicines, hospitalization and the surgeon's fee. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Atrial Septal Defect (ASD) Repair in Tunisia.

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

There are many hospitals across the country that offer Atrial Septal Defect (ASD) Repair to international patients. For quick reference, the following are some of the leading hospitals for Atrial Septal Defect (ASD) Repair in Tunisia:

  1. Hannibal International Clinic
  2. Ezzahra Clinic
  3. Le Centre International Carthage Medical
  4. Taoufik Clinique
How many days does it take to recover post Atrial Septal Defect (ASD) Repair in Tunisia?

After Atrial Septal Defect (ASD) Repair in Tunisia, the patient is supposed to stay in guest house for another 20 days. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.

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

While Tunisia 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 Tunisia apart from the cost of Atrial Septal Defect (ASD) Repair?

Apart from the cost of Atrial Septal Defect (ASD) Repair, the patient is also required to pay additionally for daily meals and guest house accommodation. The extra charges may start from USD 50 per person.

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

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

  1. El Manzah
  2. Soukra
  3. Carthage
  4. Tunis
  5. Marsa
How many days does one have to spend in the hospital for Atrial Septal Defect (ASD) Repair in Tunisia?

The average duration of stay at the hospital after Atrial Septal Defect (ASD) Repair is about 5 days for proper care and monitoring. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.

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

There are more than 4 hospitals that offer Atrial Septal Defect (ASD) Repair in Tunisia. The above listed clinics are approved to perform the surgery and have proper infrastructure to handle Atrial Septal Defect (ASD) Repair patients. Also, these hospitals follow the necessary guidelines as required by the medical associations for the treatment of Atrial Septal Defect (ASD) Repair patients.

FAQ's Related to Tunisia

Which are the popular multispecialty hospitals in Tunisia?

In Tunisia, there are numerous good hospitals and clinics, some of which we have mentioned below:

  1. Hannibal International Clinic, Tunis
  2. Cinic Soukra, Soukra
  3. La Centre International Carthage Medical, Monastir
  4. Clinic Alyssa, Tunis
  5. Taoufik Clinique, El Menzah
  6. Eureka Esthetique, Marsa
  7. Polyclinique L'Excellence, Mahdia
  8. Clinique Avicenne, Tunis
  9. Taoufik Hospital Group
  10. Clinique De L`espoir, Tunis
  11. Ennasr Clinic, Ariana
  12. El Manar Clinic, Tunis
  13. Polyclinique les Jasmins, Tunis
  14. Pasteur Clinic, Tunis
  15. La Clinique Mediterraneenne, Tunis

The outstanding levels of quality and a personal touch in service delivery to patients is the hallmark of the popular multispecialty hospitals in Tunisia. The finesse and efficiency with which multispecialty hospitals in Tunisia diagnose and treat health conditions is admirable. You must opt for healthcare in Tunisia because of the cutting edge infrastructure of its hospitals and clinics.

Why should I opt for healthcare in Tunisia?

The advanced healthcare infrastructure in the hospitals and clinics in Tunisia makes for a pretty good reason for you to get your healthcare in the country. The hospitals and clinics in Tunisia have not only the most qualified medical and paramedical personnel but quality administrative professionals as well making Tunisia a good choice for your healthcare. You must get your healthcare from Tunisia as the healthcare organisations here follow a 360* approach from consultation to post treatment follow ups or rehabilitation (as required), there are less waiting periods and reasonably priced treatments. The healthcare system in Tunisia is conscious of keeping high levels of cleanliness and as a medical traveler to Tunisia you are bound to feel absolutely safe and secure.

What is the quality of doctors in Tunisia?

When it comes to performing procedures effectively, the doctors in Tunisia are able to do so with great results as their long term practical training and vast experience enables them to function well under pressure for long hours. The doctors in Tunisia strive to learn throughout their career; therefore, they are highly educated and continue to upgrade their knowledge and qualifications as they practise medicine and treat patients successfully. The doctors in Tunisia are not just well educated and experienced but good managers. This becomes especially relevant when as a patient you find they are in charge as they liaison with doctors, healthcareprofessionals and as the head of the team that is treating you. It must be put forth that the doctors in the Tunisian healthcare system are good in people skills and thus great at managing relationships with fellow doctors and healthcare professionals and in leading teams.

When traveling to Tunisia for medical treatment, what essential documents do I need to carry along?

The important documents that are needed for your medical travel to Tunisia are mentioned here for your convenience:

  1. Visa
  2. Passport
  3. Credit Card/Debit Card/Net Banking
  4. Sufficient finances to cover your expenses
  5. Medical Reports
  6. Referral from hospital from country of origin recommending your treatment
  7. Return flight tickets
  8. Accommodation proof

Your travel itinerary and the medical treatment procedure should be covered with the complete set of documents so that you can travel to Tunisia and get treated with ease. An essential document for your medical travel to Tunisia, the medical visa would now be easier to get with the introduction of a more seamless online visa application process. Both the medical visa invitation letter from the hospital you are being referred to in Tunisia and the treatment recommendation from the hospital in your home country are essential for medical travel preparation.

What are the popular procedures available in Tunisia?

The popular procedures available in Tunisia are as follows:

  1. Breast Cancer Treatment
  2. Fibroid Removal Surgery
  3. Knee Replacement
  4. Hip Replacement
  5. Spinal Fusion

Of the many popular procedures available in Tunisia, the Spine and Orthopaedic treatments are a big draw. Breast Cancer treatment is a strength of the oncologists in Tunisia and one of the main reasons for the increasing number of medical travellers heading to the country. The gynecological procedures such as fibroid removal surgery are done on a regular basis in Tunisia and is one among the various popular procedures regularly performed in the hospitals here.

Is it mandatory to take vaccinations before going to Tunisia?

Please find below the vaccinations that are important for you to take before your travel to Tunisia:

  1. Chickenpox
  2. Shingles
  3. Pneumonia
  4. Influenza
  5. Hepatitis A
  6. Hepatitis B
  7. Typhoid
  8. Rabies
  9. Meningitis
  10. Polio
  11. Measles Mumps and Rubella (MMR)
  12. TDAP (Tetanus, Diphtheria and Pertussis)
  13. Covid19

Two bodies vis a vis, WHO: World Health Organisation and CDC: The Centers for Disease Control and Prevention, the US agency have suggested that you get vaccinated before heading to Tunisia and these vaccinations are of two kinds, recommended and routine vaccines. There are certain vaccines that are linked to potential health conditions such as Hepatitis A, Hepatitis B, Rabies and Typhoid. There are other vaccines which are considered routine or regular for conditions that you must be protected from at all times. As you begin to plan your medical travel to Tunisia, make sure that you are vaccinated against the many ailments atleast a month prior irrespective of recommendation by a health agency.

What are the other facilities provided by hospitals in Tunisia?

There are many additional facilities provided by the hospitals in Tunisia which enhance your medical travel experience. We have listed here the many additional facilities that the hospitals in Tunisia give the medical tourists.

  1. In house laboratories to run tests
  2. Language proficient interpreters
  3. Accommodation for patients and co-travellers
  4. International and local travel assistance
  5. Hospital transfers
  6. Pharmacies managed through computerized systems

As an international patient availing any treatment option in Tunisia, you can avail virtual consultations before you begin your treatment and virtual post procedure evaluations and follow ups as well. There are other facilities that are in hospitals in Tunisia like presence of dietitians, physiotherapists and prayer rooms.

What are the major medical tourism destinations in Tunisia?

Tunisia, the tiniest North African nation is the one with the good tourism potential in the form of the great health infrastructure and the many tourist attractions present in the country. There are several good medical tourism hotspots in Tunisia and they are listed below:

  1. Tunis
  2. Monastir
  3. Bizerte
  4. Sousse
  5. Tabarka
  6. Sfax
  7. Gabes
  8. Jerba
  9. La Marsa

Tunisia ranks 38 among the 46 global destinations on the 2020-2021 Medical Tourism Index owing in no small measure to its liberal economy, strong healthcare focus, close ties with European union, Arab countries and a booming tourism industry. The people here are warm and welcoming, getting medical visa is easy and there is good healthcare at economical prices which all together makes Tunisia a wonderful medical tourism destination.

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