Ventricular septal defect (VSD) Treatment in India
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What is Ventricular septal defect (VSD)?
A hole in the heart is called a ventricular septal defect (VSD). Congenital heart defects are frequent heart conditions that exist from birth. The hole is located in the wall dividing the ventricles, the heart's lower chambers.
The way blood passes through the heart and lungs is altered by a ventricular septal defect (VSD). Instead of leaving the body, oxygen-rich blood is sent back to the lungs. Blood that is low in oxygen combines with high in oxygen. The heart may have to work harder to pump blood due to these alterations, which could raise blood pressure in the lungs.
What is the Importance of Timely Treatment?
For a Ventricular Septal Defect (VSD), timely diagnosis is essential to avoiding complications and guaranteeing ideal heart function. Due to the increased burden on the heart and irregular blood flow, VSD can cause complications like respiratory infections, growth problems, pulmonary hypertension, and heart failure if treatment is not received.
The patient's quality of life can be enhanced, the heart hole can be closed, and long-term harm can be avoided with early intervention, frequently through surgery or catheter-based techniques. On time, treating VSD also lowers the chance of serious side effects, including arrhythmias and stroke, promoting normal cardiac development and enabling the kid to live a healthy life.
What are the Common Symptoms of Ventricular septal defect (VSD)?
Symptoms of VSD in infants can include:
- Unhealthy eating
- Physical growth is either slow or nonexistent (failure to flourish).
- Breathlessness or rapid breathing
- Simple exhaustion
- Using a stethoscope to listen to the heart produces a whooshing sound (heart murmur).
Adults with a ventricular septal defect can show the following symptoms:
- Breathlessness, particularly with physical activity
- Using a stethoscope to listen to the heart produces a whooshing sound (heart murmur).
Types of Ventricular septal defect (VSD)
The location of the hole (or holes) and its structure vary across the four primary forms of VSD. The types of VSD are:
- Membranous: About 80% of instances with VSD are of this type, which is the most prevalent. The upper portion of the wall between the ventricles is where these VSDs occur.
- Muscular: About 20% of baby VSDs are caused by them, and the defect frequently consists of several holes.
- Inlet: This hole appears directly beneath the left ventricle's mitral valve and the right ventricle's tricuspid valve.
- Outlet (conoventricular): This type of VSD connects the two chambers by making a hole in the right ventricle just before the pulmonary valve and in the left ventricle just before the aortic valve.
Causes, Risk Factors and Complications of Ventricular septal defect (VSD)
Causes
- During pregnancy, a condition known as ventricular septal defect (VSD) develops in the growing baby's heart. One or more holes are left by the incomplete formation of the muscle wall that divides the heart into the left and right halves. The holes may vary in size.
- Frequently, the cause is unclear. Environmental and genetic factors might be involved. VSDs can happen on their own or in combination with other congenital cardiac conditions. Ventricular septal defects can, in rare cases, develop later in life following a heart attack or specific cardiac surgeries.
Risk Factors
Ventricular septal defect risk factors include:
- Premature birth
- Down syndrome and other hereditary disorders
- Family history of congenital heart disorders or heart issues that exist from birth
Other cardiac issues in a newborn with a ventricular septal defect include:
- Defect of the atrial septum
- Coarctation of the aorta
- Syndrome of double outlets
- Arteriosus patent ductus
- Tetralogy of Fallot
A genetic counsellor can talk about the likelihood that your next child will have a congenital heart issue if you already have one.
Complications
Ventricular septal defects can raise the likelihood of other issues if left untreated, such as
- Heart failure
- Elevated pulmonary blood pressure, also known as pulmonary hypertension
- Heart rhythm irregularities, or arrhythmias
- A stroke
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Latest Research and Technologies in the Treatment of Ventricular septal defect (VSD)
- New developments in VSD treatment have reduced the need for open heart surgery by using less invasive methods, such as catheter-based therapies for minor abnormalities.
- Safer, less invasive alternatives are provided by innovations, including bio-absorbable patches for customised surgical planning and enhanced percutaneous closure tools like the Amplatzer VSD Occluder.
- More improvements in treatment results and recovery durations and more studies into gene therapy and stem cell treatments may lead to future discoveries encouraging cardiac tissue regeneration and mending.
Ventricular septal defect (VSD) Prevention Tips
Ventricular septal defect (VSD) might not be preventable because the cause is unknown. However, receiving quality prenatal care is essential. Make an appointment with your healthcare professional and take the following actions if you have a VSD and intend to get pregnant:
- Even before you get pregnant, get early prenatal care.
- Take folic acid-containing multivitamins.
- Avoid alcoholic beverages while pregnant.
- Avoid using illegal substances and smoking.
- Obtain the appropriate immunisations.
- Manage your diabetes.
- Before taking any medications, speak with your doctor because some can result in birth abnormalities.
Treatment options for Ventricular septal defect (VSD)
VSD closure repair: With the help of the catheterisation process without requiring open heart surgery, specific ventricular septal abnormalities can be fixed with thin, flexible tubes called catheters.
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Open-heart surgery: This is the recommended correction method for most ventricular septal defects. The opening between the lower heart chambers is sealed by a surgeon using stitches or a patch. A chest incision and a heart-lung machine are necessary for this kind of VSD surgery.
- Prenatal Diagnosis:
- Pregnancy ultrasound: However, ventricular septal defects (VSDs) are identified shortly after birth. Pregnancy ultrasounds can occasionally identify ventricular septal defects (VSD) before delivery.
- Postnatal Diagnosis:
- Echocardiogram: This test creates images of the heart using sound waves.
- Chest X-ray: An X-ray of your baby's chest can reveal the size and form of their heart and lungs.
- Electrocardiogram (EKG): An EKG measures a heartbeat's electrical alterations
- Cardiac catheterisation: This test aids in diagnosing or managing specific cardiac disorders. It could be used to schedule surgery.
- Oxygen level measurement: The blood's oxygen content is rapidly measured by a tiny pulse oximetry test applied to a finger or toe.
- Cardiac magnetic resonance imaging (MRI) scan: Radio waves and magnetic fields are utilised to produce detailed images of the heart. A medical professional may order this test if additional information is required following an echocardiography.
- Computerised tomography (CT) scan: A series of X-rays show the heart in depth. If an echocardiography didn't yield enough information, it might be done.
The rehabilitation goals for Ventricular Septal Defect (VSD) are to enhance the patient's general health and aid their recovery following surgery. Essential choices for rehabilitation include:
- Physical Therapy: Particularly for children or adults recovering from open heart surgery, post-surgical physical therapy aids in the restoration of strength and movement. It comprises activities to increase endurance and cardiovascular fitness.
- Cardiac Rehabilitation: Programs for cardiac rehabilitation may be suggested for elderly persons and youngsters. It is to help people resume their regular activities and avoid difficulties.
- Breathing Exercises: If the VSD has caused or contributed to respiratory problems, breathing exercises can improve oxygen levels and lung function.
Medication can treat symptoms of a VSD before surgery or if it closes on its own. Common medications include diuretics, which increase kidney fluid removal, and heart failure medications, which control heartbeat strength.
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Hospitals for Ventricular septal defect (VSD) in India
Max Super Speciality Hospital, Saket
Delhi, India
Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.
Manipal Hospital, Hebbal
Bangalore, India
Manipal Hospitals, a group of Manipal Education Medical Group, is India’s leading multi-speciality network, comprising over 650 beds. Dedicated to clinical excellence, patient-centric care and ethical practices, it provides sophisticated diagnostics, surgery and home care services to both domestic and international patients, while also improving access to affordable healthcare for underprivileged communities.
The Madras Institute of Orthopedics and Traumatology
Chennai, India
MIOT started its journey with only 70 beds and focusing on Orthopedics and Trauma care. However, we grew into a multi-specialty hospital with time. MIOT is now a 1000-bedded hospital and can offer an extensive range of services across 63 specialties. The state of art laboratory of our hospital is ranked 8th internationally. We have 21 super-specialty operation theaters equipped with cutting-edge technology to help our doctors with complex procedures.
We take great care to make our patient rooms comfortable enough. The patient rooms get plenty of fresh air as well as natural light. The soothing views from the rooms do not let the patients feel cut off from the outside world. We use separate entrances for emergency patients, out-patients, in-patients, and their attendants. We put our patients’ safety first which is why we use a superior air system to ensure a near-zero infection healthy environment.
Apart from that, MIOT’s 24 hours blood bank provides all kinds of blood work related services which include blood collection to component separation. This state-of-art blood bank alone handles more than 30,000 units of blood over the course of a year. Every month around 600 blood transfusions are managed by this blood bank.
MIOT’s SIGNA Pioneer 3T MRI machine is made with noise reduction technology. This silent MRI machine can deliver superior quality neuroimages without wasting any time. The department of Radiology and Imaging Sciences can give tough competition to any international hospital with its advanced technology and accuracy.
The PET CT service at MIOT International is the first of its kind in South India enabling better and more accurate diagnosis than earlier. The superior diagnosis is also possible for the two digital cath labs at MIOT Heart Revive center.
We also have a physiotherapy team where a team of highly efficient physiotherapists deals with the mobility and functional disability issues of our patients. They listen to the patients carefully to identify the root of the pain and use therapeutic exercises to reduce their pain.
The CCU of MIOT is something to be proud of. The specially-trained staff of this unit is dedicated to ensuring top-quality medical support to serious patients. This unit along with the MIOT International Laboratory is the backbone of our facility.
Furthermore, what makes MIOT unique is our Telemedicine service. In the new normal, we are trying everything to reach our patients. Our one of its kind Telemedicine service connects our patients to our 250 full-time doctors over email, phone, chat and video consultations.
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Why Choose India for Ventricular Septal Defect (VSD) Treatment?
India was chosen for the following reasons:
- Due to improvements in healthcare facilities, like less invasive surgical methods.
- JCI, NABH-accredited healthcare facilities, and highly skilled physicians are examples of world-class specialists.
- Treatment in Indian hospitals is more affordable than in other nations.
- International patient services, including a language support system, are offered by Indian hospitals.
- Enhanced therapeutic approaches and biological treatments
Frequently Asked Questions
Recovery from a VSD repair is dependent upon the method that was performed. Recovery periods from transcatheter procedures are shorter. Recovery periods following surgeries are lengthier and are expressed in weeks or months. Usually, VSD symptoms lessen or go away following surgery or transcatheter repairs.
In India, the success rate for treating Ventricular Septal Defect (VSD) is usually high, ranging between 95% and 98%. This is because leading hospitals have modern medical facilities, highly qualified cardiologists, and advanced surgical methods that guarantee successful results and fast recovery.
Prevention is typically impossible for VSD because there are no identified causes. However, staying away from alcohol and other medications that prevent seizures while pregnant can reduce the risk.
By the time a person is six years old, about 90% of VSDs will shut on their own. By the age of 20, most of the 10% of VSDs will close. After that, though, a VSD is unlikely to collapse by itself. Unless they have surgery to fix it, an adult with a VSD will have it for the rest of their life.
A person's life expectancy with a Ventricular Septal Defect (VSD) primarily depends on the defect's size, the treatment timing and whether complications develop. The life expectancy of people with modest to moderate VSDs is usually normal, especially if they receive early treatment.
However, life expectancy may be shortened by severe VSDs that go untreated or those that have consequences such as cardiac failure or pulmonary hypertension. Most persons with VSD can lead everyday, healthy lives if they receive timely surgical surgery.
Not always. While bigger or symptomatic abnormalities frequently require surgical intervention to prevent consequences including heart failure or pulmonary hypertension, small or moderate VSDs might not need surgery.
Although it is unlikely, a VSD may return following surgery, especially if the defect is big or if the repair process was complicated. In order to look for any remaining holes or associated cardiac issues, ongoing monitoring is required.
A large VSD might result in serious symptoms like heart failure, exhaustion, or growth issues because of the increased blood flow to the lungs, but a tiny VSD typically causes few or no symptoms and may go away on its own.