Hospital for Complex Intracardiac Repair with ASD Closure & APVD Repair Surgery
At Medicover Hospitals, our skilled CTVS surgeons, with qualifications like MS, DNB, and MCh, perform Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair using the open surgical approach. This technique often results in reduced blood loss, enhancing recovery.
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What is Complex Intracardiac Repair With ASD Closure and Anomalous Pulmonary Venous Drainage Repair?
Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair is a surgical procedure involving the heart. It addresses two main issues: an Atrial Septal Defect (ASD), which is a hole in the wall between the heart's upper chambers, and Anomalous Pulmonary Venous Drainage, where the pulmonary veins do not connect normally to the left atrium. This surgery aims to correct these structural heart defects, ensuring proper blood flow and heart function.
This surgery is necessary for individuals with congenital heart defects. Conditions like ASD and Anomalous Pulmonary Venous Drainage can lead to complications if untreated, such as heart failure or pulmonary hypertension. Modern surgical approaches include open-heart surgery and minimally invasive techniques, depending on the complexity of the defects. Early intervention is crucial to prevent long-term health issues and improve quality of life.

Complex Intracardiac Repair With ASD Closure and Anomalous Pulmonary Venous Drainage Repair Doctors Near You
Discover expert CTVS-cardiothoracic-and-vascular-surgery specialists for complex intracardiac repair with ASD closure and anomalous pulmonary venous drainage repair at Medicover Hospitals. Choose your city and book a consultation today.
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Complete Guide To Complex Intracardiac Repair With Asd Closure And Anomalous Pulmonary Venous Drainage Repair
Everything you need to know about the procedure, preparation, and recovery
Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair Surgery Indications
Doctors recommend complex intracardiac repair with ASD closure and anomalous pulmonary venous drainage repair when structural heart defects significantly affect a patient's health. This procedure is crucial when symptoms persist despite conservative management.
Severe Shortness of Breath
Patients may experience difficulty breathing, especially during physical activity. Doctors find enlarged heart chambers and abnormal blood flow on imaging. When medication and lifestyle changes do not alleviate symptoms, surgery is considered.
Recurrent Respiratory Infections
Frequent lung infections may occur due to improper blood flow. Diagnostic tests reveal abnormal pulmonary venous connections. Persistent infections despite antibiotics may necessitate surgical intervention.
Heart Murmur with Cyanosis
A noticeable heart murmur and bluish skin tint indicate oxygen-poor blood mixing. Echocardiograms show defects like ASD and anomalous veins. Surgery is advised when these signs lead to reduced oxygen levels and fatigue.
Right Heart Enlargement
Patients may have swelling in the legs or abdomen. Imaging shows right heart chamber enlargement due to increased blood flow. When these signs progress despite medical management, surgery becomes essential.
Failure to Thrive in Children
Children may exhibit poor growth and developmental delays. Tests reveal heart defects affecting blood circulation. If nutritional support and medications fail, surgical repair is necessary to improve growth outcomes.
How to Prepare for Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair?
Proper preparation is crucial for a successful outcome and smooth recovery from complex intracardiac repair. It ensures that the body is ready for surgery and helps in reducing potential complications.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements at least 7 days before surgery. Consult your doctor for specific instructions.
- Fasting Guidelines: Do not eat or drink anything for at least 8 hours before the procedure to ensure safety during anaesthesia.
- Pre-Surgery Tests: Complete all recommended blood tests, ECG, and imaging studies as advised by your healthcare provider.
- Clothing and Comfort: Wear loose, comfortable clothing on the day of surgery to ease movement and reduce discomfort.
- Transportation Arrangements: Arrange for someone to drive you home post-surgery, as you will not be able to drive yourself.
- Medication List: Bring a list of all medications you are currently taking, including dosages, to the hospital.
- Hygiene Protocol: Follow any specific hygiene instructions, such as using antiseptic soap, to reduce infection risk.
- Emotional Preparation: Discuss any concerns with your doctor to alleviate anxiety and ensure you understand the procedure.
Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair Surgery (Step-by-Step)
This procedure is performed at Medicover Hospitals Cardiothoracic Department. It typically lasts 4 to 6 hours and is usually performed under general anaesthesia.
- Preparation: The patient is placed under general anaesthesia. Monitoring devices are attached to track vital signs.
- Incision: A median sternotomy is performed, creating a 15-20 cm incision along the chest to access the heart.
- Cardiopulmonary Bypass: The heart-lung machine is connected to maintain blood circulation and oxygenation during the surgery.
- ASD Closure: The atrial septal defect (ASD) is closed using a patch, often made from the patient's own tissue or synthetic material.
- Anomalous Pulmonary Venous Drainage Repair: The anomalous veins are redirected to the left atrium. This may involve creating new pathways or using patches.
- Weaning from Bypass: The heart is gradually taken off the bypass machine. Heart function is monitored closely.
- Closure: The sternum is wired back together, and the incision is closed with sutures or staples. A chest drain may be placed to remove excess fluid.
Who Performs Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair Surgery?
This surgery is performed by cardiothoracic surgeons. They are trained in heart and chest surgeries. They use specialised instruments like the harmonic scalpel and bipolar cautery. Their expertise ensures precise correction of heart defects.
Recovery After Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair Surgery
Recovery from this surgery requires careful monitoring and gradual resumption of activities. Patients may experience fatigue and discomfort initially, but these should improve over time.
Day 1-3:
- Hospital stay for close observation.
- Pain management and monitoring of vital signs.
- Begin with a liquid diet, progressing to soft foods like soups and dal-rice.
Day 4-7:
- Gradual increase in physical activity, such as short walks.
- Continue with a soft diet including khichdi and moong dal.
- Focus on hydration and balanced nutrition.
Week 2-4:
- Return home with regular follow-up appointments.
- Increase activity levels as tolerated, avoiding strenuous activities.
- Introduce more variety in diet, including curd and easily digestible foods.
- Most children can return to school after 3-4 weeks; adults may resume work depending on recovery.
Phase 2 (1-3 months):
- Continue with regular check-ups to monitor heart function.
- Gradually resume normal activities, avoiding heavy lifting.
- Maintain a heart-healthy diet with plenty of fruits and vegetables.
When to Seek Urgent Help:
- Sudden chest pain or shortness of breath.
- Signs of infection, such as fever or redness around the incision.
- Swelling in the legs or persistent fatigue.
Benefits of Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair Surgery
This surgery addresses multiple heart defects, improving overall heart function and patient quality of life.
- Improved Blood Flow: Corrects abnormal blood circulation, enhancing oxygen delivery to the body.
- Heart Function Restoration: Repairs structural defects, leading to better heart efficiency.
- Symptom Relief: Reduces symptoms like breathlessness and fatigue, improving daily activities.
- Long-term Health Benefits: Decreases the risk of future heart complications.
Risks and Complications of Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair Surgery
While this surgery is beneficial, it carries certain risks, as with any major heart procedure.
- Bleeding during or after surgery.
- Infection at the surgical site.
- Arrhythmias or irregular heartbeats post-surgery.
- Blood clots leading to stroke or other complications.
- Residual defects requiring additional intervention.
- Adverse reaction to anaesthesia.
Cost of Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair Surgery
The cost of this surgery at Medicover Hospitals typically ranges from Rs.3,00,000 to Rs.9,00,000, depending on the surgical approach, duration of hospital stay, room category, required diagnostics, and post-operative care. We ensure transparent pricing to help you plan your treatment effectively.
We offer support for insurance and TPA services, including CGHS, ESI, and major TPAs, with cashless facility options available. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair surgery cost at Medicover Hospitals?
The cost ranges from Rs.3,00,000 to Rs.9,00,000 based on individual cases and requirements. Please contact Medicover Hospitals for detailed pricing information.
2. Is Complex Intracardiac Repair with ASD Closure and Anomalous Pulmonary Venous Drainage Repair surgery covered under health insurance at Medicover?
Many insurance plans, including CGHS, ESI, and major TPAs, may cover this surgery. Please contact the hospital for current panel details.
3. Will I need lifelong medication after this heart surgery?
Lifelong medication may be necessary to manage heart function and prevent complications. Your cardiologist will provide a tailored medication plan.
4. Can I experience arrhythmia post-surgery?
Arrhythmia is a potential complication after heart surgery. Regular follow-ups and monitoring will help manage this condition effectively.
5. How soon can I return to normal activities?
Patients can usually resume normal activities within 6-8 weeks. Your doctor will provide specific guidelines based on your recovery progress.
6. Will I need a special diet for heart health?
A heart-healthy diet including fruits, vegetables, and whole grains is recommended. Indian foods like dal-rice and khichdi are good choices.
7. Can I travel by air after heart surgery?
Air travel is generally safe after a few weeks post-surgery. Consult your doctor for specific advice based on your recovery.