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About The Surgery

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VSD Closure (Adult) Surgery

The surgical treatment for atrial septal defects (ASD) and ventricular septal defects (VSDs) is an open-heart surgery. A ventricular septal defect (VSD) is a defect in the septum between the right and left ventricle. The septum is a wall that separates the heart’s left and right sides. Septal defects are often referred to as a “hole” in the heart.

Why is VSD Closure Performed?

A hole in the wall between the two bottom pumping chambers (VSD) can cause severe problems. The severity of the symptoms depends on the size and the location of the defect and can range from no signs at all to acute heart failure. Heart failure may result in poor feedings, thus affecting the weight. In older people, heart failure may cause decreased exercise tolerance and shortness of breath. Device closure is sought when the symptoms become worse. If timely intervention is not done, then the condition can be life-threatening.

Who is a candidate for Device Closure?

Depending on their size and location, septal defects may close by themselves. The cardiologist will observe the defects before recommending surgical treatment. In cases involving more massive holes and severe symptoms, however, treatment with surgery or catheter closure with a device will be needed.

For people to qualify for the device closure procedure, following symptoms are checked.

  • Fatigue (tiredness)
  • Frequent lung infections
  • Getting tired easily
  • Heart palpitations
  • Lethargy
  • Difficulty in breathing
  • Shortness of breath
  • A buildup of blood and fluid in the lungs
  • An accumulation of fluid in the feet, ankles, and legs

How is the Surgery Performed?

A catheter is a long, thin, flexible, hollow tube, which is used to guide the placement of an VSD device that will shut the hole in the heart wall.

In VSD closure, cardiac catheterisation, the surgeon will move a catheter into the heart. At first, the catheter is inserted into a large vein after making a small incision in the groin area, which is then advanced into the heart. The surgeon will measure the hole and make sure that there are no other defects which may interrupt the surgical procedure. The imaging procedures might be used amid surgery to get a quick idea of what is supposed to be done.

  • An imaging test called angiography, (an injection of a particular type of dye followed by an x-ray) may be used to have a better look at the hole. .
  • An ultrasound imaging technique is used to see the defect better and also to determine the size of the closure device needed.
  • Besides, a special balloon on a catheter is moved to the area of the hole and inflated across the hole to measure the gap and stretch it.

An VSD closure device is moved through the catheter to the heart and specifically to the location of the heart wall defect. Once the correct position is achieved, the closure device is allowed to expand its shape to mount each side of the hole. The VSD device is a permanent fix, which will stop the abnormal flow of blood between the two atrial chambers of the heart. The catheter is then removed, and the procedure is concluded.

Follow-up and Prognosis of the Device Closure?

The patient may be required to visit pediatric cardiologist get a check-up for to look underlying risks or complications. The visits are done until the heart specialist gives a green signal. Medicines are given to prevent the formation of blood clots. Devices like electrocardiograms, Holter monitors, exercise stress tests and echocardiograms are used during the follow-up to monitor the healing. The long-term outlook is excellent, and usually no medicines, additional surgery or catheterisation are required.

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Hospitals

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Indraprastha Apollo

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