An Atrial septal defect (ASD) is a congenital heart defect where there is a hole in the atrial septum, the wall which separates the right and left atria. A small opening between the two atria (foramen ovale) is always present at birth, but usually seals off shortly thereafter. If the natural opening persists, it is called patent foramen ovale, if the opening is bigger than that and involves a defect in the muscular septum, it is called ASD
What symptoms can an ASD cause?
Symptoms can develop in childhood or later in life, depending on the size of the defect. Some may experience shortness of breath, fatigue, heart palpitations, or a decrease in exercise capacity. Patients usually have an audible heart murmur that is caused by the extra blood flow across the pulmonary valve to the lungs.
Why is an ASD potentially dangerous?
Patients with a big ASD are more likely to develop congestive heart failure or stroke. Because of the excessive flow of blood into the right atrium, right ventricle and lungs, this enlarges the right atrium and right ventricle and increases pressures in the pulmonary artery. An enlarged right atrium can cause arrhythmias. The lung vessels can become stiff and increase the resistance of the pulmonary circulation and result in a so-called Eisenmenger syndrome. Such patients are very sick, acquire a blue tinge to the skin, and are in heart failure.
When should an ASD be treated?
A significant ASD should always be treated, regardless of the age of the patient. Some of the structural changes in the heart caused by an ASD over time are not entirely reversible. ASD closure before irreversible changes occur is therefore recommended. Most patients, children as well as adults, usually experience marked improvement of their symptoms after ASD closure.
How can an ASD be closed?
Patients are supported by a heart-lung machine intraoperatively and the ASD is approached through an opening in the right atrium
The surgery is performed through the small space between the ribs. The heart-lung machine is inserted via a small incision in the groin, allowing the heart to be stopped for the sewing of the patch. A soft retractor is inserted, which gently opens the narrow space between the ribs, enabling the surgeon to insert the specialized minimally invasive instruments. An endoscope, ideally with a 3D camera, is inserted that will provide a high-resolution image of the heart and the ASD.
Using this technique, the stability of the chest is fully preserved, patients recover more quickly, and the minimal scar will be barely visible after the patient recovers.
The Estimated Cost includes –
1. Operation Theatre Charges
2. Surgeon’s Cost
3. Anaesthetist’s Cost
4. ICU & Room Rent
Estimated Cost Excludes
1.Clinical Lab Charges
2. Professional Charges
3. Nursing Charges
5. Dietary Charges for the patient and an attendant
6. Stay outside the hospital, cost of the same is not included in the above estimate and is payable on actual.
8. Any outpatient consultations and medicines which are required during the follow-up will not be a part of the estimate.
9. The estimate cost is for the number of days indicated above, if situation demands to extend stay in hospital, the additional days stay would be charged accordingly.
10. If any device or implants used will be charged at actual.
11. Special Investigations referred by other departments or if situation demands any additional investigation would be charged accordingly.
12. Cost for the evaluation is not included in the above mentioned estimation.
13. Cost of Implants