Ventricular Septal Defect (VSD)
A ventricular septal defect (VSD) is a hole between the right and left pumping chambers of the heart. The heart has four chambers: a right and left upper chamber called an atrium and a right and left lower chamber called a ventricle.
In the normal heart, the right and left chambers are completely separated from each other by a wall of muscle called a septum. The right atrium is separated from the left atrium by the atrial septum and the right ventricle is separated from the left ventricle by the ventricular septum.
It is normal for all infants to be born with a small hole between the two atria which usually closes within the first few weeks of life. Normally there is no hole between the two ventricles, but some infants are born with these holes called ventricular septal defects.
Ventricular septal defects are among the most common congenital heart defects, occurring in 0.1 to 0.4 percent of all live births and making up about 20 to 30 percent of congenital heart lesions. Ventricular septal defects are probably one of the most common reasons for infants to see a cardiologist.
Ventricular septal defects occur in many locations and sizes. The ventricular septum is made up of different types of tissue, with one part composed of mainly muscle and another part made of thinner, fibrous tissue. The location and size of the hole within the septum will determine in part the consequences of the ventricular septal defect.
Small ventricular septal defects rarely cause problems. A physician usually discovers these holes by noticing an extra heart sound called a murmur, on a routine physical exam. This murmur is often not present in the first few days of life. Most of these holes will close on their own, particularly if they are in the muscular portion of the septum. Even if these holes do not close, they will rarely cause any health problems.
When the symptoms of a ventricular septal defect are hard to control with medicines or the baby is unable to grow, surgical closure of the defect is often recommended. Surgical closure of isolated ventricular septal defects is uncomplicated in 99 percent or more of cases.
Some ventricular septal defects may be closed using an FDA approved closure device which is placed using a heart catheter (a small plastic tube through which the device may be delivered). In infants this requires a more limited surgery to be used together with catheter placement of the device.
The Estimated Cost includes –
1. Operation Theatre Charges
2. Surgeon’s Cost
3. Anaesthetist’s Cost
4. 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