VSD Closure in Adults Treatment in India

VSD Closure in Adults Treatment Cost in India

Total cost
Total Days
Days in Hospital
Outside in hspital
Cost of Treatment Including Tests / Investigations $ 4800
Cost of Stay & Meals for 7 days (For 2 persons) $ 00
Cost of Taxi, Phone, Internet for 10 days $ 30
Medical Visa Cost For One person $ 0 0
Flight Cost Return Airfare Book Online
Total Cost (All Inclusive)
$ 00

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Top Doctors for VSD Closure in Adults

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Dr. Ganeshakrishnan Iyer

M.Ch., MBBS, MS

Lead Consultant - CTVS Surgery

25 years of experience

Dr. Prashanth Y M

M.Ch., MBBS, MS

Consultant - CTVS Surgery

16 years of experience

Dr. Anup Charles

FPCS, M.Ch., MBBS, MS

Consultant - Paediatric Cardiac Surgery

18 years of experience

Dr. Sweta Mohanty

FNB, MBBS, MD

Consultant - Paediatric Cardiology

15 years of experience

Dr Abhijit Vilas Kulkarni

DM, MBBS, MD

Sr. Consultant - Cardiology

10 years of experience

Dr Girish B Navasundi

DNB, MBBS, MD

Sr. Consultant - Cardiology

25 years of experience

Dr. U.Ilayaraja

DM, MBBS, MD

Consultant

10 years of experience

Dr. Mahadevan

MBBS, MD

Cardiothoracic Anaesthesiologist.

16 years of experience

Dr. B. Ramamurthy

DM, MBBS, MD

Consultant

37 years of experience

Dr. S.Shanmugasundaram

DM, MBBS, MD

Consultant

37 years of experience

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Top Hospitals for VSD Closure in Adults

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Apollo Indraprastha Hospital, Delhi - NCR
Fortis Hospital, Bannerghatta, Bangalore
Max Hospital, Saket, Delhi - NCR
Apollo Hospital, Chennai, Chennai
Continental Hospital, Hyderabad
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Medanta Hospital, Delhi - NCR
BLK Hospital, Delhi - NCR
Paras Hospital, Delhi - NCR
Jaypee Hospital, Delhi - NCR
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Frequently Asked Questions About VSD Closure in Adults

A ventricular septal defect is the presence of a void in the division septum that divides the two ventricles of the human heart, also known as the lower chambers. Ideally, the oxygen-rich blood must flow from the left ventricle to the aorta, but it flows from the left ventricle to the right because of the opening. As a result, the left ventricle's oxygen-rich blood mixes with the right ventricle's oxygen-poor blood.  Typically an infant is born with VSD and other different heart defects and may have one or more septum holes.  But in many situations, for a proper treatment plan collection, the issue may need to be given time to adulthood.

  • Defect location
  • The size of the defect
  • Total no of defects
  • Existence or absence of a ventricular septal aneurysm- a flimsy flap of tissue present in the septum. This thin slice is harmless and can aid in the automatic closure of the VSD.
  • Small VSDs are not considered as potential threats and they do not cause any major symptoms. And in most cases, they close on their own. Since they are small and do not cause too much of impure blood mixing, these kinds are known as restrictive VSDs.
  • Medium-sized VSDs are usually not prone to closures automatically. Surgeries are required to close and have many associated symptoms during childhood and infancy.
  • Large VSDs are responsible for large amounts of blood mixing from the left to the right ventricle and never close on their own but can grow smaller over time. The symptoms are significant and usually require surgery for correction.


Depending on the locations of VSDs they can be of the following types:

  • Outlet VSDs are found in the point of the ventricle from where blood leaves the heart. They are very rare
  • Inlet VSDs are the ones that are close to the point where blood enters the ventricles. They are not so rare.
  • Muscular VSDs are located in the lower part of the septum and surrounded by muscles and close on their own without any intervention required in adulthood
  • Membranous VSDs are located close to the heart valves and may close any time and they are a bit more common.

Ventricular septal defects have their own set of complications and if not closed in childhood days automatically, then surgery is definitely required or else the following complications may result:

 

  • Heart failure: With time, additional to the normal functioning of the heart where the left ventricle is pumping blood to the right. And this causes excessive load on the heart increasing the body’s demand for energy and making the heart work more and finally result in heart failure.
  • Failure in growth is another problem that will hinder the development of the child normally since it has been deprived of normal nutrition.
  • Irregular heartbeat is another problem which is also known as arrhythmia. Due to the flow of the extra blood, the heart can stretch and enlarge abnormally. This will result in interference in the normal electrical activities of the heart leading to arrhythmia.
  • A large amount of blood being pumped due to a large VSD can harm the delicate arteries of the lung and scar it for a lifetime. However, it is not a very common condition these days.



There are no clear reasons why VSDs can occur and scientists around the world are still researching to find the answer. At times, smoking and drinking of the pregnant mother is linked with the defect but cannot be clearly indicated. However, families who have congenital heart disease problems are more likely to give birth to one child with this defect.  Children born with Down Syndrome are also more likely to be born with such defects. This kind of trouble is more linked with heredity.


Among symptoms, heart murmur is associated with VSD and it can be the first and the only symptom of this kind of defect. These heart murmurs can be detected and heard only when once the baby is 6 to 8 weeks old.


But newborns who have VSDs do not have other heart related symptoms. Babies that are born with medium or large VSDs can suffer from heart failure. These signs and symptoms can be detected during the first two months of life.

Ventricular septal defects (VSDs) often cause a heart murmur that your doctor can hear using a stethoscope. If your doctor hears a heart murmur or finds other signs or symptoms of a heart defect, he or she may order several tests including:


  • Echocardiogram. In this test, sound waves produce a video image of the heart. Doctors may use this test to diagnose a ventricular septal defect and determine its size, location, and severity. It may also be used to see if there are any other heart problems. Echocardiography can be used on a fetus (fetal echocardiography).
  • Electrocardiogram (ECG). This test records the electrical activity of the heart through electrodes attached to the skin and helps diagnose heart defects or rhythm problems.
  • Chest X-ray. An X-ray image helps the doctor view the heart and lungs. This can help doctors see if the heart is enlarged and if the lungs have extra fluid.
  • Cardiac catheterization. In this test, a thin, flexible tube (catheter) is inserted into a blood vessel at the groin or arm and guided through the blood vessels into the heart. Through cardiac catheterization, doctors can diagnose congenital heart defects and determine the function of the heart valves and chambers.
  • Pulse oximetry. A small clip on the fingertip measures the amount of oxygen in the blood.

VSD procedure is performed under general anesthesia and the patient feels no pain or any sensation. Right at the center of the chest, a cut is made in order to reach the VSD.


The patient is thereafter placed in a heart or lung bypass machine throughout the surgical procedure.


The heart is made to stop, and the machine takes over the function of the heart by pumping the red blood cells throughout the body.


The machine further brings the impure blood that has little oxygen to itself so that it can pick up oxygen.


Now the surgeon makes use of a special patch with stitches for the closure of the VSD.


The patch is now put over the VSD and it is sewn into place. With this surgical procedure is completed and the dependency on the machine can be stopped and the heart is restarted to carry out its normal functions.


The patient is taken off the bypass machine and the skin incision is further closed.

Surgical intervention is the last resort taken for repairing a VSD. Usually, proper medication and nutrition advice is given to children and young adults to deal with VSD. In most cases they work, only in some unfortunate cases, the healthcare provider will advise the patient to undergo a surgery.


Another option is a septal occluder where a stent is implanted in the coronary artery. A mesh shaped like an umbrella is inserted to block the VSD. The mesh is inserted via the groin with the help of a catheter.

While undertaking the ventricular septal defect treatment procedure, it is very important to discuss the patient's medical history in depth.

Generally, VSD is associated with other congenital heart disease and the treatment choices are selected by the surgical team based on what other heart disease affects the patient. The doctor may very often advise you to undergo dental check-ups and advice.

People with small VSDs will usually require follow-ups with their cardiologists from time to time. Those who have undergone surgery without any other congenital heart disease should expect to lead a normal, active and healthy life.

But at times some complications can remain after the surgery and they may be:

  • Frequent arrhythmia whose risk increases in adults who have undergone a surgery
  • A leak in the patch edge which has been used for the closure of the hole and may, unfortunately, require another surgical intervention.
  • A serious risk for IE which is an infection in the inner linings of the heart chambers and valves. In this case, special antibiotics and precautions are required to prevent any infection from entering the bloodstream through mouth.

Usually, teens and young adults do not need another additional surgery post the VSD closure surgery.

ASD and VSD surgery cost in India is as low as $4800 which is quite low as compared to other countries.

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