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ASD / VSD Hole-in-Heart Closure Surgery
Cardiology & Cardiac SurgeryRecuperación
1 to 6 weeks
Estancia Hospitalaria
1 to 5 days
Tasa de Éxito
98%
Atrial Septal Defect (ASD) and Ventricular Septal Defect (VSD) are congenital structural heart issues characterized by an abnormal hole in the internal wall (septum) that separates the heart's chambers. This defect allows oxygen-rich blood to leak backward and mix with oxygen-poor blood, causing too much blood to cycle through the lungs and forcing the right side of the heart to work dangerously hard. If left untreated, progressive symptoms like chronic fatigue, recurrent lung infections, pulmonary hypertension, and heart failure can develop.
Hole-in-heart closure surgery restores normal anatomical structure and optimal blood circulation pathing. Depending on the size, shape, and exact location of the defect, the hole can be closed either via Minimally Invasive Transcatheter Device Closure (using an umbrella-like occlusion plug) or Conventional Surgical Repair (using standard or robotic-assisted stitching and tissue patches). Timely intervention effectively eliminates respiratory issues, prevents permanent pulmonary damage, and allows individuals to live an entirely normal, unrestricted lifespan.
Hole-in-heart closure surgery restores normal anatomical structure and optimal blood circulation pathing. Depending on the size, shape, and exact location of the defect, the hole can be closed either via Minimally Invasive Transcatheter Device Closure (using an umbrella-like occlusion plug) or Conventional Surgical Repair (using standard or robotic-assisted stitching and tissue patches). Timely intervention effectively eliminates respiratory issues, prevents permanent pulmonary damage, and allows individuals to live an entirely normal, unrestricted lifespan.
Detalles del Procedimiento
The choice of technique depends on whether the hole can be resolved through a catheter intervention or requires standard surgery.
1. Approach A: Transcatheter Device Closure (Minimally Invasive)
Setup: Performed in a Cath Lab under local anesthesia with conscious sedation or light general anesthesia. It takes roughly 1 to 2 hours.
Access & Deployment: A small puncture is made in the groin to access the femoral vein. A thin catheter carrying a collapsed, double-disc closure device (made of specialized nitinol mesh and fabric) is guided up into the heart.
Fixing the Defect: Under precise ultrasound and X-ray tracking, the first disc is opened inside one heart chamber, pulled flush against the hole, and the second disc is deployed on the opposite side. This safely sandwiches and seals the defect. Over time, natural heart tissue grows over the device permanently.
2. Approach B: Surgical Closure (Open or Keyhole Surgery)
Setup: Conducted under general anesthesia in a cardiac operating room. It takes between 2 to 4 hours.
The Repair: The surgeon accesses the heart via a standard breastbone incision or a small, keyhole side-chest cut. The patient is connected to a heart-lung bypass machine. The surgeon opens the target heart chamber and either sutures the tiny hole completely closed or stitches a bio-compatible patch (synthetic or from the patient’s own pericardium) over larger defects. The heart is then safely closed and restarted.
1. Approach A: Transcatheter Device Closure (Minimally Invasive)
Setup: Performed in a Cath Lab under local anesthesia with conscious sedation or light general anesthesia. It takes roughly 1 to 2 hours.
Access & Deployment: A small puncture is made in the groin to access the femoral vein. A thin catheter carrying a collapsed, double-disc closure device (made of specialized nitinol mesh and fabric) is guided up into the heart.
Fixing the Defect: Under precise ultrasound and X-ray tracking, the first disc is opened inside one heart chamber, pulled flush against the hole, and the second disc is deployed on the opposite side. This safely sandwiches and seals the defect. Over time, natural heart tissue grows over the device permanently.
2. Approach B: Surgical Closure (Open or Keyhole Surgery)
Setup: Conducted under general anesthesia in a cardiac operating room. It takes between 2 to 4 hours.
The Repair: The surgeon accesses the heart via a standard breastbone incision or a small, keyhole side-chest cut. The patient is connected to a heart-lung bypass machine. The surgeon opens the target heart chamber and either sutures the tiny hole completely closed or stitches a bio-compatible patch (synthetic or from the patient’s own pericardium) over larger defects. The heart is then safely closed and restarted.
Comparación de Costos
| País | Costo Estimado | Ahorros frente a EE. UU. |
|---|---|---|
| India Mejor Relación Calidad-Precio | $4,000 - $6,500 | Ahorre hasta 90% |
| EE. UU. | $55,000 | - |
| Reino Unido | $22,000 | - |
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