VSD Closure / Repair (Adult) in Singapore

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About the VSD Closure / Repair (Adult)

Holes in the heart are considered to be congenital heart diseases or defects. These are considered to be a problem in the structure formation of the heart right at the time when a foetus is deriving its nutrition in the womb. With latest procedural technologies these problems can be mended right after birth. The holes in the heart disrupt the normal blood through the heart thus causing a general problem in blood circulation in the entire body.

About VSD Closure / Repair (Adult)

In order 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 is 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 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 ventricle pump blood from the heart and in a diastolic contraction the ventricles relax to receive blood pumped by the atria while aortic and pulmonary valves close at the beginning of the diastole to prevent the chances of backflow.

How is VSD Closure / Repair (Adult) performed?

Depending on location, age and general health of the child the operation procedure is decided

Atrial septal defect treatment

When ASDs do not close by themselves as observed in periodic checkups then catheter or surgical procedure has to be adopted. Surgeons decide to close the holes when the child is 2 to 5 years old and the hole size is medium or large

Catheter procedure

Till 1990s surgery was the only usual method to close ASDs but due to advance technologies now catheter procedures can close secundum ASDs.  The child will be given medicine so that he or she sleeps through the ASD device closure procedure. Now a catheter is inserted into the groin’s vein and threads it up to the septum of the heart. A tiny umbrella like device is folded up inside the catheter. Angiography or echocardiography is used to see the threading path of the catheter.

The device is pushed out of the catheter after reaching the septum and so positioned that it acts like a plug in the hold between the atria. The device will be kept in position while the catheter will be slowly withdrawn.

Within a period of 6 months, over this device normal tissues will start growing in. As the child grows the closure device is not required to be replaced. Normal development would take place gradually without affecting the operations of the heart.

Only a needle puncture is made in the above described procedure and hence this is less invasive as a procedure. They are usually successful until and unless the hole is too large and only an open surgery can solve the problem.

Surgery

For primum or sinus venosus ASDs an open heart surgery is recommended. Here too medicines will ensure that the child sleeps though the process.  In the chest an incision is made at first. With a special path that covers the hole the defect is repaired. On a heart lung bypass machine the child is placed to ensure that the heart can be opened to perform the surgery.

ASD device closure surgery complications

  • Bleeding and infection are quite rare and outlook for children after the surgery is found to be excellent.
  • Pericarditis complication can be solved with medicines where inflammation happens in the heart’s outer lining and as a result fluid gets collected in the space.

Recovery from VSD Closure / Repair (Adult)

Antibiotics will be administered to the child to prevent infection like endocarditis. Regular checkups will follow for a while to ensure that the hole gets closed properly. To prevent blood clots the child may be given aspirin. Apart from all these, for the first few months, activities will be kept limited till he or she is fit enough to exert more with physical activities.

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Frequently Asked Questions

What is the health care infrastructure of Singapore / Why should opt for Singapore as a destination for your medical treatment?
Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
What are the conditions of the hospitals in Singapore? 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 of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Are the doctors/surgeons in Singapore of the best quality?
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
What is the process for obtaining a medical visa in India?
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
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Which are the best cities in Singapore for medical treatment?
Singapore is a sovereign island city in itself. So you can find many options for treatment in Singapore itself, without having to travel too much.

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