Is ASD Closure a Lifesaving Heart Procedure?

November 8, 2023 by Medical Content Team0
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Every year, thousands of people confront the burden of living with an atrial septal defect (ASD), a hole in their heart. This disorder can cause significant health problems, but the fantastic world of medical research provides a lifeline in the shape of ASD closure.

In the world of heart health, an excellent procedure has been changing lives. It is called atrial septal defect (ASD) closure. You see, sometimes people are born with a tiny hole in their heart, an ASD. While it may seem small, this little opening can have significant consequences. But here’s the good news: ASD closure can be a lifesaver.

Statistical facts show that congenital heart defects, like ASD, affect approximately 1% of all babies born worldwide, making them a significant global health concern. And among these, ASD is one of the most common. But the even more impressive part is that ASD closure has a success rate that’s nothing short of incredible. For many, it’s more than a medical procedure; it’s a chance at a healthier, longer life.

With a considerable figure of cardiac surgeries under his belt, Dr. Dinesh Kumar Mittal offers expertise in treating ASD through various techniques, ensuring a brighter, healthier future for those affected. His specialization in congenital cardiac surgery and minimally invasive procedures further underscores his commitment to delivering the best care.

This blog will delve into the specifics of ASD closure, who needs it, what happens during and after the surgery, the benefits, potential risks, recovery, and life expectancy. Let us begin this journey by seeing how the closure of ASD impacts people’s lives and ensures a brighter future for those affected.

What is an ASD?

An atrial septal defect (ASD) is a congenital heart defect characterized by an abnormal opening in the wall (septum) dividing the heart’s two upper chambers, the atria. 

This opening, known as the foramen ovale, usually closes shortly after birth. In certain situations, however, it stays open, enabling blood to pass between the atria. 

Significant or chronic ASDs can cause the heart to overwork, resulting in problems such as cardiac enlargement, irregular heart rhythms, and even stroke. ASDs are commonly detected and treated to avoid these problems and maintain heart health.

What is an ASD Closure?

ASD closure is a medical treatment for atrial septal defects and abnormal holes in the wall dividing the heart’s upper chambers, known as atria. While every infant has a tiny gap in this wall, some are born with bigger openings that do not close on their own, and this is when ASD closure is used.

Dr. Mittal describes ASD closure as a procedure to close an Atrial septic defect (ASD), a hole in the heart. He says, “This procedure treats the condition by closing the abnormal opening in the wall (septum) between the heart’s two upper chambers (atria).” 

He emphasizes that the specific technique for closing an ASD can vary and may involve open-heart surgery, a minimally invasive procedure using cardiac catheterization, or other methods depending on the patient’s circumstances. The procedure typically involves covering the hole with a patch, plugging it with a closure device, or sewing it shut with sutures. 

Who Is in Need of ASD Closure?

The necessity for ASD closure arises when the defect is significant. Large ASDs can disrupt the heart’s normal function, leading to complications like abnormal heart rhythms, an enlarged heart, heart failure, high lung pressure, shortness of breath, and even strokes. In some cases, ASD closure may be recommended alongside surgery for other congenital heart conditions, especially in children.

However, Dr. Mittal recommends an immediate ASD closure for individuals at risk of complications due to a significant atrial septal defect (ASD). 

Performing ASD Closure: The Techniques

ASD closure can be accomplished using several techniques, and the choice of method depends on various factors, including the individual’s overall health and the size and location of the defect. Plans for ASD closure may involve:

  • Open-Heart Surgery: This traditional method involves making an incision in the chest, either down the middle or on the right side, to access the heart. The surgeon then closes the ASD using a patch, plug, or sutures.
  • Transcatheter Closure: This minimally invasive procedure is an option for individuals with smaller ASDs and no other heart conditions requiring correction. A catheter is inserted through a vein in the groin and guided to the heart, where a closure device is placed in the defect.

The Procedure – What to Expect?

During ASD closure surgery, the patient is placed under general anesthesia to ensure comfort and pain relief. If the open-heart method is chosen, an incision is made in the chest, typically over the breastbone. Using specialized tools, the surgeon locates the ASD and closes it securely. Alternatively, transcatheter closure involves a smaller incision in the groin and a catheter-based approach.

What are the Benefits of ASD Closure?

ASD closure offers several advantages, primarily addressing the symptoms and complications associated with a heart defect. This procedure can protect the heart and lungs, improving overall quality of life and longevity.

What are the Potential Risks and Complications?

While ASD closure is generally safe and effective, some associated risks include allergies, abnormal heart rhythms, bleeding, heart tissue or vein damage, infections, kidney issues, and strokes. Although these complications are relatively rare, they can be life-threatening.

What is the Cost Of ASD Closure Surgery in Delhi NCR?

Generally, the lowest approximate cost for ASD surgery in Delhi is around ₹1.2 to ₹2.9 lakhs, while the highest cost can go up to approximately ₹3.9 lakhs. However, these estimated costs might fluctuate based on individual patient needs the complexity of the procedure, hospital preferences, additional medical examinations, and the patient’s overall health condition. 

What is the Recovery and Life Expectancy after this procedure?

Dr. Mittal highlights that recovery after ASD closure varies. Following transcatheter closure, patients can typically resume regular activities within one week. For surgical closure, some physical limitations might apply for a few weeks. 

Studies reveal that younger individuals (25 or younger) undergoing ASD closure have a life expectancy similar to their peers without ASD. Older individuals might have slightly reduced life expectancy compared to those who never underwent ASD closure. This emphasizes the life-extending benefits of the procedure.

John, a patient of Dr. Mittal, expressed his gratitude, stating, “Dr. Mittal’s expertise in ASD closure made all the difference. His skill and care were exceptional. Thanks to him, I can look forward to a longer, healthier life. I can’t thank him enough for his dedication and life-saving work.”

Conclusion

ASD closure is a transformative medical procedure that offers hope, improved health, and a brighter future for individuals with atrial septal defects. By understanding the procedure, its benefits, potential risks, and life expectancy implications, we can appreciate its profound impact on countless people’s lives. ASD closure is not just a medical intervention; it’s a lifeline to a healthier, longer life.

Frequently Asked Questions (FAQs)

1. What is ASD closure surgery?

ASD closure is a procedure to repair a hole in the heart’s septum.

2. Why is ASD closure considered lifesaving?

It helps to cope with severe complications like heart failure and stroke.

3. Who performs ASD closure surgery?

Heart surgeons or interventional cardiologists are specialists in this procedure.

4. What are the potential risks of ASD closure?

Risks may include infection, bleeding, allergies, or heart tissue damage.

5. How long is the recovery period after ASD closure?

Recovery varies, but it usually involves physical restrictions for a few weeks and medication for several months.

Read Also: Aortic Dissection: Life Threatening Situation


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