India is one of the world's top destinations for ASD closure surgery since it provides a high-quality procedure at a reasonable cost. For those looking for high-quality, reasonably priced healthcare, the average cost of an ASD closure operation in India is between USD 4900 and USD 5500. This makes it an appealing choice. Patients should budget for a 10-day hospital stay for the procedure plus an extra 10-day period for out-of-hospital recovery. The excellent success rate of 98.5% for ASD closure surgery performed in India attests to the knowledge and skill of medical personnel. A thorough assessment is ensured prior to surgery with preoperative testing such as an echocardiogram, medical examination, electrocardiogram (ECG), and chest X-ray. These procedures contribute to the overall success and safety of the entire process.

What is ASD? 

An atrial septal defect (ASD) is a birth-related heart defect. It is therefore a congenital cardiac defect. There is an opening between the upper chambers of the heart in people with ASD. The amount of blood passing through the lungs is increased by the hole.

Tiny atrial septal abnormalities may be discovered by accident and never pose a problem. Some may close in early childhood or infancy.

The heart and lungs may suffer harm from a significant, protracted atrial septal defect. To fix an atrial septal defect and avoid consequences, a surgery would be required.

Types of ASD

There are different forms of atrial septal defects (ASDs), and each type is distinguished by where the defect is located in the heart chambers. The most common kind is the Secundum, which is located in the centre of the atrial septum, the wall that separates the upper chambers of the heart.

Primum is another variation that affects the lower section of the atrial septum and is sometimes linked to further congenital heart defects.

A rare condition, Sinus Venosus is usually located in the top wall between the heart's chambers and frequently coexists with other structural cardiac defects.

Last but not least, a part of the heart's vascular system called the coronary sinus is affected by the coronary sinus is affected by the Coronary Sinus. This rare variety lacks a portion of the wall that connects the left upper chamber of the heart to the coronary sinus. Because various ASD varieties are so different from one another, diagnosis and therapy must be done individually.

Symptoms

An atrial septal defect (ASD) might not cause symptoms in a newborn. Symptoms could start in later life.

Symptoms of an atrial septal defect can include:

-Breathing difficulties, particularly after working out.

-Fatigue, particularly after exertion.

-Swelling in the tummy, foot, or legs.

-Arrhythmias are irregular heartbeats.

-Palpitations are sensations of a rapid, hammering, or fluttering heartbeat or skipped heartbeats.

Causes

It's unclear what causes an atrial septal defect. The heart's structure is impacted by this issue. It takes place throughout pregnancy when the child's heart is developing.

The possible factors leading to congenital cardiac conditions such atrial septal defect are genetic alterations, certain health issues, certain medications, smoking and misuse of alcohol.

Diagnosis 

Prior to or shortly after a child is born, certain atrial septal defects (ASDs) are discovered. Smaller ones, however, might not be discovered until later in life.

Alike the examination of VSD, when using a stethoscope to listen to the heart, a medical expert may detect a whooshing sound known as a heart murmur if an ASD is present.

The following tests can be used to diagnose an atrial septal defect (ASD):

1-Echocardiography. The primary examination for atrial septal defect diagnosis is this one. It is possible to create images of the beating heart using sound waves. The chamber and valve structures of the heart are visible on an echocardiography. It also demonstrates the efficiency of blood flow via the heart's valves.

2-Chest X-ray. An X-ray of the chest reveals the health of the heart and lungs.

3- Cardiogram (also known as ECG or EKG). This rapid and simple examination captures the heart's electrical activity. It may display the heart rate in both rapid and slow waves. Arrhythmias, or irregular heartbeats, can be detected with the use of an ECG.

4-Cardiac MRI (magnetic resonance imaging). This imaging technique creates fine-grained images of the heart using radio waves and magnetic fields. If the results of other tests were inconclusive, it might be performed.

5- CT scan (computerised tomography). This technique builds up detailed images of the heart by taking a series of X-rays. In the event that results from other tests are insufficient for a diagnosis, it might be employed.

Treatments 

Medications ;

An atrial septal defect cannot be repaired by medication (ASD). However, they may lessen symptoms. Potential medications for atrial septal defect include:

-Beta blockers for heart rate regulation.

-Anticoagulants, often known as blood thinners, reduce the chance of blood clots.

-Diuretics help lessen accumulation of fluid in the body's various organs, including the lungs.

Surgery ;

It is not possible to perform surgery on an ASD patient who has pulmonary hypertension. On the other hand, surgical correction can be used to treat ASDs in children of all sizes. The methods used in this instance are:

-Cardiac Catheterization: Using imaging methods, medical professionals insert a catheter, or tiny tube, into the heart through the groyne. They either fill the hole and seal it, or they cover the opening with a mesh patch. Slowly but surely, the heart tissue encircles the mesh and covers the hole permanently.

-Open Heart Surgery: The body has a heart-lung machine attached to it. General anaesthetic has now been applied to the patient. The surgeon uses numerous patches to cover the big hole. Many atrial septal abnormalities are better treated with this treatment. Open cardiac surgery is the only method available for correcting these abnormalities.

Cost of ASD in India 

The price range for ASD Closure Surgery in India is USD 4900 to USD 5500. Ten days are spent in the hospital and an additional ten days are spent outside of it. The success percentage of ASD Closure Surgery varies depending on the disease's intricacy, however it is 98.5%. Before ASD Closure Surgery, the following tests are necessary: Echocardiogram, Electrocardiogram (ECG), Physical Examination, and Chest X-ray.

Cost in other countries

In Turkey, the cost of closing an ASD atrial septal defect ranges from USD 7200 to USD 8800. The patient must spend four days in the hospital and ten days outside of it. The diagnosis and the facilities the patient chooses will determine the overall cost of the therapy.

In Thailand, the cost of closing an ASD atrial septal defect ranges from USD 13500 to USD 16500. The patient must spend four days in the hospital and ten days outside of it. The diagnosis and the facilities the patient chooses will determine the overall cost of the therapy.

Best Hospitals in India for ASD Treatment 

• KIMS Hospital, Hyderabad
• Indraprastha Apollo Hospital- Offers robotic-assisted ASD closure and repair by experienced cardiac surgeons
• Apollo Hospital Chennai- One of India's top 10 cardiology hospitals that offers ASD closure
• Artemis Hospital - Offers advanced procedures to treat ASD in adults, including open-heart surgery
• Fortis Escorts Heart Institute - Offers catheter-based ASD repair using radio-imaging techniques
• Fortis Memorial Research Institute - A multi-specialty quaternary care hospital with advanced equipment and experienced medical professionals 
• Max Smart Super Speciality Hospital - Offers open-heart surgery to treat ASD
• Fortis Hiranandani Hospital - A multi-specialty hospital that offers a range of advanced medical treatments
• Fortis Hospital, Gurgaon
• Medanta The Medicity
• Jaypee Hospital
• Manipal Hospital Dwarka, Delhi

Doctors specialized in ASD Closure Surgery

• Dr. Amit Misri.
• Dr. Nidhi Rawal.
• Dr. Jasjit Singh Bhasin.
• Dr. Rajiv Chhabra.
• Dr. Kulbhushan Singh Dagar.
• Dr. Muthu Jothi.
• Dr. Shyamveer Singh Khangarot.
• Dr. Viresh Mahajan.
•  

FAQ 

1. How can patients in Indian hospitals get an appointment for ASD closure surgery?

- Patients can make an appointment by getting in touch with the hospital's cardiology division directly, or they can do so by getting referred by their primary care physician. Online appointment scheduling is a feature that many hospitals offer.

2. How long does it usually take to get an appointment in Indian hospitals for ASD closure surgery?

   - Depending on the urgency of the patient's illness and other variables including the hospital's workload, wait durations might range from a few days to several weeks.

3. How may patients in India select a facility for closure surgery for ASD?

   - Think about things like the hospital's standing, the surgical team's experience, the availability of cutting-edge equipment, the standard of aftercare, and the total cost.

4. What is the typical duration of ASD closure surgery in India?

- The duration of ASD closure surgery can vary based on factors such as the complexity of the case and the chosen surgical technique. However, on average, the procedure usually takes around 3 to 4 hours.

5.  What is the Indian hospitals' success rate for ASD closure surgery?

   - The success rates are normally high, with the majority of patients reporting a notable improvement in their heart health. A number of variables, including surgical expertise, patient health, and defect size, affect success.

6. In India, how long does recovery from ASD closure surgery usually take?

-The complexity of the surgery, the patient's age, and their condition all affect recovery durations. It may take a patient a couple of days to a week to recuperate fully, and it may take several weeks to months.

7. What are the possible risks and complications of ASD closure surgery?

- There are a few possible hazards, such as bleeding, infection, arrhythmias, and harm to nearby structures. Patients and their healthcare practitioner should talk about these hazards.