Tetralogy of Fallot (TOF) Surgery in India With List of Fallot’s Tetralogy Treatment Hospitals in India

Fallot’s Tetralogy Treatment in India

Fallot’s tetralogy treatment in India is recommended for children who suffer from a congenital heart defect. It is a rare and a complex disorder that alters the normal flow of blood through the heart.
“Tetralogy of Fallot” derives its name from the fact that it encompasses four (tetra) different congenital heart defects. This defect affects 5 out of every 10,000 babies born in a year. Girls are at an equal risk of suffering from any of the Fallot’s tetralogy disorder as boys.
Fallot’s Tetralogy Treatment in India
Fallot’s tetralogy treatment in India is conducted at all major multispeciality hospitals. The best hospitals in India are equipped with all the major facilities to conduct successful medical and surgical treatment of children suffering from Fallot’s tetralogy.
Some of these high-end facilities include the presence of neonatal intensive care units (NICUs), cardiac care units (CCUs), paediatric intensive care units (PICUs) nd normal intensive care units (ICUs). In addition, other state-of-the-art facilities such as life support system, oxygen tanks, artificial heart-lung bypass machines and heart monitors are also present within the premises of the hospital.
Tetralogy of Fallot treatment in India involves the treatment of all the four types of defects – ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy and overriding aorta. Ventricular septal defect treatment in India is a common cardiology treatment conducted at all major multispeciality hospitals in India.
The best hospitals for Fallot’s tetralogy treatment in India are located in different cities. These cities are connected through all major flights. The best Fallot’s tetralogy treatment hospitals in India offer attractive packages to medical tourists, which includes the cost of boarding, lodging, medical treatment and other facilities.

Fallot’s Tetralogy Treatment Hospital in India

There are several best hospitals for Fallot’s tetralogy treatment in India located across the entire length and breadth of the country. These hospitals offer state-of-the-art medical services at an extremely affordable cost.
The affordable cost of Fallot’s tetralogy treatment in India is one of the reasons behind the huge influx of medical tourists from abroad. By coming to India, a medical tourist spends just a fraction of what it costs in other developed countries with similar quality of medical and surgical treatment facilities.
The best Fallot’s tetralogy hospitals in India house some of the top cardiologists. The top cardiologists in India hold a great experience in handling all types of patients and the complications associated with their medical condition.
A majority of top doctors in India are educated and trained from abroad. They hold an extensive experience in conducting medical and surgical treatment using top notch technology and the latest technology. The best hospitals for Fallot’s tetralogy in India make sure to keep themselves updated as per the latest trends in the field of healthcare.
Each year, hundreds of medical tourists from the Arab nations and Western countries such as the US, UK and Russia come to India for cardiology procedures. Affordable cost of medical treatment, top class medical services and around the clock availability of doctors are some of the top reasons why medical tourists decide to come to India for medical treatment.

Best Fallot’s Tetralogy Treatment Hospitals

Some of the best hospitals for Fallot’s Tetralogy Treatment in India include the following:

10 Best Fallot’s Tetralogy Treatment Hospitals in India

Medanta The Medicity
Global Health City, Chennai
BLK Super Speciality Hospital
Global Hospital, Mumbai
Artemis Hospital, Gurgaon
Fortis Memorial Research Institute
Kokilaben Dhirubhai Ambani Hospital
Columbia Asia Yeshwantpur
Nanavati Super Speciality Hospital
Aster Medcity

Best Fallot’s Tetralogy Treatment Hospitals in Malaysia

KPJ Ampang Puteri Specialist Hospital
Gleneagles Hospital Kota Kinabalu
Subang Jaya Medical Centre
Gleneagles Hospital Kuala Lumpur
Gleneagles Medini Hospital
Gleneagles Penang Medical Centre
Pantai Hospital Kuala Lumpur
ParkCity Medical Centre
Pantai Hospital Ayer Keroh
Ara Damansara Medical Centre

Best Fallot’s Tetralogy Treatment Hospitals in UAE

Zulekha Hospital Dubai
Canadian Specialist Hospital, Dubai
Saudi German Hospital
Al Zahra Hospital
Thumbay Hospital
Zulekha Hospital Sharjah

Best Fallot’s Tetralogy Treatment Hospitals in Thailand

BNH Hospital
Vejthani Hospital

Fallot’s Tetralogy Treatment Cost in India

Tetralogy of Fallot (TOF) is a rare condition that must only be treated by a highly experienced cardiac surgeon. Since this congenital defect comprises of four different problem areas or defects, the surgery lasts for over a period of four to five hours.
Because of the intricacies involved in the treatment procedure and sensitivity of the condition, surgery for TOF in India costs a bit higher than a majority of other cardiology surgical procedures. The surgeon takes a step-wise approach to correct the defects, moving from one defect to another in a row.
The cost of Fallot’s tetralogy treatment in India depends on several factors. Some of the major factors that determine Fallot’s tetralogy treatment cost in India include the following:
  • Choice of hospital
  • Choice of city
  • Condition of the patient
  • Side procedures required or not
  • Number of diagnostic tests conducted
  • Number of days spent in hospital
  • Critical care required or not
  • Surgeon’s fees
  • Hospital fees
  • Occurrence of complications
Despite all these factors that control the cost of TOF in India, the total amount remains less than what the same procedure costs in any other country in the world, including the US, the UK, Malaysia, Russia and Canada.
TOF surgery cost in India is estimated to be around $8000. This is just a fraction of what the same surgery costs in the US. The TOF surgery cost in the US is estimated to be around $50000.

The Four TOF Defects

Ventricular Septal Defect: The left chambers of the heart are separated from the right ones through a septum. A ventricular septal defect is characterised by a hole in the septum that divides the ventricles, the two lowermost chambers of the heart. This leads to mixing of the oxygenated and the deoxygenated blood.
Pulmonary Stenosis: In the case of pulmonary stenosis, narrowing of the pulmonary valve takes place. Thus, the heart has to beat faster and harder to be able to pump blood effectively to the lungs.
Right Ventricular Hypertrophy: This condition is characterised by the thickening of the right ventricle. This is because the heart has to pump faster than it should (due to pulmonary stenosis) to supply blood to the lungs.
Overriding Aorta: This condition is characterised by incorrect placement of the aorta. Usually, the aorta is connected to the left ventricle. However, in the case of TOF, the aorta is placed between the left and right ventricle. As a result, deoxygenated blood sometimes travel to the aorta instead of the pulmonary artery in the case of TOF patient.

Causes of Fallot’s Tetralogy

TOF is a congenital disorder, which may be triggered by several factors. The following risk factors that mothers are exposed to during pregnancy may cause TOF in infants:
  • Viral illness
  • Alcohol overuse
  • Diabetes
  • Poor or inadequate nutrition
  • Heredity factors
In addition, children with genetic disorders often end up suffering from congenital heart defects as well, including TOF.

Fallot’s Tetralogy Signs and Symptoms

Babies suffering from Fallot’s tetralogy have a bluish tint to their skin that is visible on their lips and nails as well. This indicated the presence of low amounts of oxygen in their blood.
In addition, the baby may also suffer from the following symptoms:
  • Breathing difficulty
  • Tiredness and limping movement
  • Loss of consciousness
  • Always fussy
  • Loss of response to parent’s voice and touch
  • Low or no weight gain
  • Heart murmur
  • Clubbed fingernails

Fallot’s Tetralogy Diagnosis

The diagnosis of Fallot’s tetralogy involves both physical and medical examination of the baby. The signs and symptoms identified by the doctor trigger the need to conduct further tests to diagnose the problem.
Physical Examination: As a part of a physical exam, the doctor first uses a stethoscope to check for the heartbeat of the baby and the functioning of his or her heart. In addition, they observe the overall general condition of the skin of the baby, their breathing rate and facial appearance.
Medical Examination: One or a combination of the following tests may be conducted to diagnose Fallot’s tetralogy:
Echocardiogram: This painless test makes use of ultrasound waves to check for the beating of the heart. The coloured picture of the heart on the screen lets doctors identify if there is any problem with the pumping of the blood.
Electrocardiogram: This test is used to monitor the electrical activity of the heart. It is a painless and a safe test used to identify whether the heart is pumping regularly or not.
Cardiac catheterization: During this test, a thin tube called a catheter is inserted into a vein in the groin, arm or neck and then threaded through the heart. A dye in injected into the vein to check the flow of blood through the blood and the heart vessels. This helps identify whether the blood is getting mixed between chambers and also helps identify the pressure inside the heart chambers.
Pulse oximetry: This test helps assess the levels of oxygen in the blood.
X-ray of the chest: This test is used to take the picture of the heart and the lungs and identify the signs of fluid retention.

Fallot’s Tetralogy Surgery

Fallot’s tetralogy is a complex and a rare procedure, which is only treated with the help of a surgery. There are different types of surgical procedures that a surgeon will conduct during the treatment of Fallot’s tetralogy since the condition itself involves four different defects that must be corrected.
Fallot’s tetralogy surgery involves widening of the pulmonary blood vessels. The vessels are either widened or replaced altogether. If needed, the surgeons may also widen or enlarge the passageway that connects the right ventricle to the pulmonary artery. This helps improve the flow of blood to the lungs.
In addition to this, the surgeon also closes the ventricular septal defect with the help of a patch. This helps prevent mixing of oxygenated and deoxygenated blood.
Correcting these two major problems helps rectify the problems that result due to the other two defects of the heart in Fallot’s tetralogy. This helps relax the right ventricle, which no longer needs to pump faster to maintain the flow of blood.

Recovery After Fallot’s Tetralogy Surgery

Recovery after TOF surgery takes months. The incision made during the surgery usually takes about six to eight weeks to heal completely.
Sometimes, only temporary repair is done due to the small size of the infant. The infant is, therefore, made to undergo another surgery after a few years for full repair of the defects. Extra care must be taken while feeding the infant after the surgery.
He or she may need extra nutrition after the surgery. Consult your doctor about the feeding routine. Ideally, the baby should be fed at frequent intervals.
Image Sources: https://www.nhlbi.nih.gov

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