ASD Closure Cost in India

Last Modified: June 2, 2020  |   Created on: July 23, 2018
Heart
  • The cost of ASD closure surgery in India ranges between USD 3500 to USD 5500. 
  • This is less than 20 percent of what it costs in the US .
  • Average price of ASD closure surgery in the US is estimated to be above $20000.

What is Atrial Septal Defect (ASD) Closure Surgery Cost in India?

ASD Closure PriceNo. of TravelersDays in HospitalTotal Days in India
USD 3,500247

 

There are mainly two methods for ASD repair: Cardiac catheterization and surgical intervention (open/ minimally invasive heart surgery).

Hospitalization is usually required for 7-10 days, this may vary upon patient recovery.

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Factors Affecting the ASD Closure operation cost in India 

The cost of ASD treatment in India is effectively economical compared to several other nations. The overall cost of treatment depends on multiple factors and may vary within a narrow range. Some of the important factors that affect the ASD surgery cost in India are:
  • Method of treatment
  • Choice of the hospital and its location
  • The duration of hospital stay
  • Room category
  • Surgeon’s fee
  • Additional complications

What is an Atrial Septal Defect (ASD)?

Atrial septal defect (ASD) is a congenital heart disorder that affects the two upper chambers of the heart. In this condition, a person is born with an abnormal opening in the tissue wall of the heart, known as septum, that separates the right and left atria (chambers). This condition is commonly known as a “hole in the heart” and medically termed Atrial Septal Defect (ASD).

Can a patient live with ASD?

If the hole is small, the patient might not have any medical problems or it may even close on its own during childhood. The medium and large sized defects can have significant  impact on the performance of the heart and lungs. This is because the oxygen-rich blood from the right atrium leaks into the left atrium with oxygen-poor blood and gets pumped back to the lungs, causing increased work-load for the heart.

The larger opening in the septa can cause serious complications and therefore, it must be closed surgically by an experienced cardiac surgeon. For a smaller ASD defect, cardiac catheterization is typically suggested as the primary treatment. But for a larger ASD defect, heart surgery is considered as the best possible option. Minimally invasive ASD heart surgery in India has a high success rate and is carried out by extensively trained and experienced doctors.

How can Lyfboat assist you getting treatment for ASD Treatment in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

What are the types of Atrial Septal Defect?

The following are the five common types of ASD:

  • Ostium secundum atrial septal defect: It is the most common type of ASD, accounting for 6 to 10 percent of all congenital heart problems. It occurs in the centre of the atria as an abnormal opening in the septum secundum.
  • Ostium primum atrial septal defect: A hole in the lower part of atrial chamber may  lead to this defect and its is usually associated with other heart defects like mitral and tricuspid valve. This condition may give rise to Down’s syndrome.
  • Sinus venosus atrial septal defect: This defect occurs in the top part of the atrial chamber and is a rare medical condition.
  • Common or single atrium: This defect arises due to the failure of the development of atrial septal complex in which the atrial septum is either absent or rudimentary.
  • Patent foramen ovale: In this defect, the  remnant part of the fetal foramen ovale (small flap-like opening) does not close prior to birth. It may remain undiscovered in most people but may cause specific complications defects such as stroke and migraine at a later stage of life.

While ostium secundum atrial septal defect accounts for 65 to 70 percent of all ASDs, ostium primum atrial septal defect accounts for almost 15 to 20 percent of ASDs and sinus venosus type accounts for less than 10 percent of ASDs.

What are the Risks and Complications of ASD?

ASD, if left untreated or diagnosed later, may lead to serious complications. Some of the fatal cardiac events that may result because of ASD include the following:
  • Heart failure
  • Arrhythmias
  • Heart stroke
  • Pulmonary hypertension

What are the Symptoms of having a Hole in the Heart?

Typically, children with ASD have a normal health and rarely experience any of the following symptoms. However, these symptoms may manifest completely in adults (above 25 years) and cause:
  • Difficulty in breathing
  • Pneumonia on a frequent basis
  • Improper growth
  • Fatigue
  • Heart palpitations

How is ASD diagnosed?

In the case of patients suffering from ASD, abnormal heart sounds and palpitations are typically the first symptoms diagnosed with the help of a stethoscope. To confirm ASD, the doctor may order a combination of the following tests:

  • Chest X-ray
  • Echocardiography
  • Electrocardiography
  • Doppler study of the heart
  • Coronary angiography
  • Magnetic resonance imaging (MRI) of chest

What are the options for Atrial Septal Defect Treatment in India?

The treatment option for an ASD patient depends on the size, position and severity of symptoms. When the opening is small, it will not affect the functions of heart and lungs, and treatment is usually not needed. Small ASDs in infants often close or narrow down on their own. There is no specific medicine that can reduce the ASD size or make close it any faster than it might do naturally.

Patients with large ASDs may need treatment in which the opening is closed during surgery with a patch or by cardiac catheterization using a device. When the ASD is an unusual position within the heart, or the patient has other heart defects such as abnormal connections of the veins that causes flow of blood from the lungs back to the heart (pulmonary veins), ASD closure with the catheter technique is not recommended. Then surgery is the approach for treatment.

An open heart or minimally invasive surgery can be used to close a large ASD. This is usually done in early childhood, even when the infant shows few symptoms, to prevent complications that may occur later. 

Heart Catheterization 

During Heart Catheterization procedure, ASD closure with device is done using a catheter which is placed into an artery or a vein in the patient’s groin region or neck. Next, the catheter is threaded through the artery or vein to reach the heart of the patient. Before threading the catheter into the blood vessel, the surgeon attaches it to a special device or, sometimes a deflated balloon, that helps close the hole in the septum.

As the device reaches the site of atrial septal defect, it is released from the catheter. The device then opens up and secures the hole tightly. The implant becomes a part of the heart muscle over a period of time and stays there permanently as surrounding muscles grow over it. The catheter is withdrawn from the body of the patient as soon as the device is placed in accurate position.

The procedure is performed while the child is under a general anaesthetic, which means that the child will be unconscious during the procedure.

As not every ASD can be closed using heart catheterization method, the cardiologist first need to measure the ASD size to determine if it can be closed with a device in the heart catheterization lab. This is done using a test called a transesophageal echocardiogram. In this, a heart ultrasound is performed with a small probe placed through the child’s esophagus. This test helps measure the size of the opening in the septum and placement of the closure device.

If the hole is small enough to be closed with catheterization device and in the right position, the cardiologist will use the catheter technique.

This procedure takes around one to two hours, or longer. 

After the procedure

After the catheterization procedure, the child is shifted to a recovery room to wake up from the general anaesthetic. Most children have to stay in the hospital for at least four to six hours following the procedure and can go home on the same day as the procedure. In the morning after the procedure, the cardiologist will perform an echocardiogram to ensure that there is no fluid around the heart.

Complications Associated with Heart Catheterization

The following complications may arise during or after heart catheterization:

  • Device embolization and malpositioning
  • Postimplantation arrhythmias
  • Thrombus formation
  • Cardiac perforation
  • Device erosion
  • Residual shunts
  • Pericardial effusion
  • Transient ischemic attack

Heart Surgery for ASD closure 

A surgical repair is recommended when the ASD cannot be closed using a heart catheterization technique. The surgery can be open or minimally invasive.

Open Heart Surgery

During the open surgery procedure, the cardiac surgeon makes a cut on the patient’s chest after they are put under general anaesthesia. The heart-lung machine is attached to the patient to maintain a constant supply of oxygenated blood to the body as this surgery is performed on a non-beating heart.

The cardiac surgeon may close the hole with the help of sutures or a patch depending on the size of the opening. For larger ASDs, patch is most often used. Within the first six months after the surgery, the hole gets completely covered by the heart tissues.

Complications Associated with Open Heart Surgery

Cardiac surgery may result, although rarely, in the following complications:

  • Hematoma
  • Heart stroke
  • Heart attack
  • Excessive bleeding
  • Infection
  • Allergic reaction to anesthesia
  • Bacterial endocarditis

Minimally Invasive heart surgery

Minimally invasive surgery involves using a key-hole approach for the surgery. This means that only a small 4-6 cm incision is made on the right side of the chest instead of the large midline incision and division of the breastbone used in an open heart surgery. Most ASD patients are candidates for a minimally invasive surgery. 

During the surgery, the surgeon accesses the heart through the incision made in the small space between the ribs. The heart-lung machine is placed through a small incision in the groin, before the heart is stopped for the sewing the opening with a patch. The surgeon uses a soft retractor to gently opens the narrow incision between the ribs. The specialized minimally invasive instruments are then inserted through this incision to perform the operation. An endoscope device with an attached 3D camera is inserted to provide surgeons a high-resolution image of the heart and the ASD during the surgery. 

This technique allows patients to recover more quickly and have lesser post-operative pain and discomfort than open surgery. As only small incisions are made, there will be minimal scarring, barely visible after the patient recovers.

What happens after ASD Surgery?

The patient usually spends 4-5 days in the hospital after the surgery, where he/she can be looked after by trained medical staff. Medical evaluations including echocardiogram  are conducted to confirm complete closure of the hole in the heart. The cardiologist will monitor the patient on a regular basis to ensure proper cardiac function in the patient and to make sure there are no signs of ASD recurrence. The doctor will prescribe pain medications and anticoagulants like acetylsalicylic acid to prevent blood clotting. The surgical wound will take 1 – 2 months to heal completely. Follow-up care may differ depending on the type of defect, presence of other defects, age and other factors. Children after ASD closure surgery require only occasional follow-ups while for adults more regular check-ups are required to keep a check on further complications such as hypertension or heart failure.

Note: If the patient opts for a dental treatment after ASD closure, then antibiotics should be administered for six months to prevent a specific type of heart infection known as infectious endocarditis.

Why choose India for ASD Closure Treatment and Surgery?

India is renowned all around the world for offering high quality and reliable cardiac treatment. Thousands of patients from overseas travel to India regularly for all kinds of heart related disorders, including congenital defects like ASD closure, VSD repair and many others.

A huge share of this popularity can be attributed to the fact that healthcare sector in India is highly updated with next-generation medical technology. The latest treatment facilities are available at the best ASD closure surgery hospitals in India at an extremely affordable cost and patients never think twice before approaching the country for medical care. Here is a list of the 10 best cardiology hospitals in India.

The surgery is conducted in the most careful manner in the country and therefore, the success rate and the rate of recovery is quite high. The high success rate of ASD closure in India can also be attributed to the experience and the skills of the best cardiologists in India.

Frequently asked Questions (FAQs) about ASD Closure Surgery in India

Q. How much does ASD Closure Surgery Cost in India?

The cost of ASD closure surgery ranges from $3500 – $5500 in India.

Q. What is the percutaneous closure device?

A percutaneous closure device is a specialized device used to treat patients with atrial septal defect and patent foramen ovale (PFO). In a catheterization procedure, this device is attached to the end of a catheter which is inserted through a vein in the leg and released at the site of the defect to close the hole.

Q. Is a PFO the same as an ASD?

Atrial Septal Defect and Patent Foramen Ovale are both birth defects in the septal tissue present between the left and right atria of the heart. ASD is a heart defect that one is born with due to the failure of formation of septal tissue between the atria while PFO only occurs after birth when the foramen ovale, a flap-like valve, fails to close.

An ASD hole is larger than that of a PFO and therefore, more likely to present symptoms.

Q. How does an atrial septal defect occur?

Congenital heart defects occur due to failure or errors in the development of heart during the foetal stage. Certain factors like gene defects, chromosome abnormalities and alcohol and drugs uptake by the mother during pregnancy can increase the risk of ASD in the baby.

Q. Can a hole in the heart cause a stroke?

Heart defects like ASD and PFO can possibly lead to a stroke. This can happen because the blood clot or a solid particle in the blood can move from the right side of the heart to the left side through the abnormal opening in the septal wall and then travel to the brain, causing a stroke.

Q. Is ASD life threatening?

A small atrial septal defect may never cause any problems because it often closes during infancy. The larger defects can cause a number of complications ranging from mild to life-threatening, including right-sided heart failure and stroke.

Q. Can atrial septal defect be inherited from family?

Congenital heart defects appear to run in families and sometimes occur with other genetic problems, such as Down syndrome.

What is closure device look like and will it stay in place?

A closure device is a short tube made of metal and mesh and has different-sized discs (circles) on both end. The discs in the devices are folded to make the device fit in the catheter. When it is positioned in the right place, one disc will open up before the device is separated from the catheter. The tube will plug the hole as the other disc opens up on the opposite side of the septal opening.

What complications can an untreated ASD cause in adults?

If ASD isn’t treated in childhood, it can cause problems later in life:

  • Make heart and lungs work harder
  • Cause atrial arrhythmia
  • Increase risk for stroke as a blood clot can pass through the opening in the septum and travel to the brain
  • Pulmonary hypertension
Vanshika Rawat

Written By Vanshika Rawat

Vanshika Rawat is an experienced content developer. She is very knowledgeable in the field of science and healthcare and has worked under brilliant scientists during her higher education. Vanshika obtained her degrees in Masters in Science and Bachelors in Science (Microbiology with Hons.) from renowned institutions - Panjab University and University of Delhi.
Dr. Surbhi Suden

Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.

Best ASD Closure Surgery Hospitals in India

Patients from all can access cardiac treatment with complete ease in India because of the widespread network of cardiac hospitals in India. The best ASD closure hospitals in India are spread across all the major cities like Gurgaon, Delhi, Chennai, Bengaluru, Mumbai, Kochi, Hyderabad, Nagpur and Kolkata. These locations are well connected to other countries through direct flight with all major airlines of the world. These hospitals have tertiary and quaternary healthcare facilities with center of excellence for cardiac care. 

Thousands of national and international patients are treated at the top ASD closure surgery hospitals in India annually with successful results. These hospitals offer a variety of services for international patients with guarantee of high standards of quality. The best hospitals in India are accredited by the Joint Commission International (JCI) and National Accreditation Board for Hospitals and Healthcare Providers (NABH). These are the two leading organizations from the US and India, respectively, that award certification to hospitals for meeting certain criteria with respect to the quality of medical services and patient satisfaction scores. Apart from high-tech facilities and updated technology, these hospitals offer various treatment packages that makes cost of ASD surgery in India affordable to a majority of people.

Best ASD Closure Surgeons in India

The Top cardiologists in India are internationally renowned heart doctors with unparalleled skills and expertise in the field of cardiology. ASD closure is a complex heart surgery that must be performed only by an experienced cardiac surgeon. Every year, thousands of heart defect surgeries including ASD closure are performed in India with great success. All these procedures are conducted by highly trained and experienced cardiac surgeons with extensive experience of performing all kinds of ASD treatment procedures.

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