About ASD Closure Redo
Key Highlights
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Addresses complications or failure of a previous ASD closure procedure.Performed by specialized cardiac surgeons with expertise in reoperative cardiac surgery.Aims to definitively close the defect and restore normal blood flow within the heart.Can alleviate symptoms like fatigue, shortness of breath, and palpitations.Helps prevent long-term risks such as pulmonary hypertension, stroke, and heart failure.Utilizes advanced surgical techniques to navigate through prior surgical scar tissue safely./ul
Who is this surgery for?
- Residual shunt (leak) after a prior surgical or device-based ASD closure.
- Embolization (displacement) or malposition of a previously placed closure device.
- Erosion or perforation of cardiac tissue by a closure device.
- Development of significant symptoms like arrhythmias, exercise intolerance, or heart failure post-initial closure.
- Progression of pulmonary hypertension due to an uncorrected shunt.
- Infection related to a previously implanted closure device.
- Large defect not amenable to or failed by catheter-based closure methods.
How to prepare
- Comprehensive re-evaluation including echocardiogram (TTE/TEE), cardiac MRI, and possibly cardiac catheterization.
- Detailed review of prior surgical records and imaging studies.
- Pre-operative blood tests, chest X-ray, and ECG to assess current health status.
- Consultation with a cardiologist and cardiac anesthesiologist to plan the procedure.
- Discontinuation of certain medications (e.g., blood thinners) as advised by the doctor.
- Fasting for 8-12 hours before the surgery.
- Informed consent process discussing the specific risks of a redo operation.
Risks & possible complications
- Bleeding and need for blood transfusion, which is higher in redo surgeries.
- Infection of the surgical site, sternum (sternal wound infection), or heart (endocarditis).
- Injury to surrounding structures (heart, lungs, major blood vessels) due to scar tissue.
- Arrhythmias (abnormal heart rhythms), which may require temporary or permanent pacing.
- Stroke or transient ischemic attack (TIA) due to blood clots or air emboli.
- Adverse reaction to anesthesia.
- Residual or recurrent defect (shunt).
- Prolonged need for ventilator support or ICU stay.
Recovery & hospital stay
- Initial recovery in the Cardiac ICU for close monitoring of heart function, bleeding, and vital signs.
- Pain management with medications to ensure comfort, especially with chest incision.
- Gradual mobilization with assistance from physiotherapists to prevent complications.
- Detailed instructions on sternal (breastbone) precautions: no heavy lifting, pushing, or pulling for 6-8 weeks.
- Wound care for the chest incision to prevent infection.
- Follow-up appointments with the cardiac surgeon and cardiologist for echocardiograms to confirm successful closure.
- A structured cardiac rehabilitation program is often recommended to regain strength and endurance.
- Long-term medications may include blood thinners or heart rate controllers as prescribed.
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Typical hospital stay: 7-14 days
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Expected recovery time: 6-12 weeks for initial recovery; 3-6 months for full recovery
Frequently Asked Questions
If you are considering asd closure redo in India, these questions and answers can help you make a confident, informed decision.
Popular choices for asd closure redo in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform asd closure redo. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for asd closure redo compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 350 Thousand – 800 Thousand | 7-14 days | ~ 6-12 weeks for initial recovery; 3-6 months for full recovery | Know More |
| Turkey | TRY 1.23 Million – 2.8 Million | 7-14 days | ~ 6-12 weeks for initial recovery; 3-6 months for full recovery | Know More |
Top hospitals for ASD Closure Redo in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing asd closure redo.
Vivaan Verma, a 28-year-old software engineer...
Vivaan Verma, a 28-year-old software engineer from Mumbai, had his initial ASD closure with a device at age 12. He was largely asymptomatic until his late twenties, when he began experiencing persistent fatigue, shortness of breath during his morning runs, and occasional palpitations. A routine echocardiogram revealed a significant residual leak around the original device, causing right heart enlargement. His cardiologist, Dr. Sharma, explained that the device had not fully endothelialized and was now partially obstructing blood flow, necessitating a surgical ASD Closure Redo to remove the old device and patch the defect directly. Vivaan was terrified of open-heart surgery, having only known the minimally invasive procedure of his childhood. The surgery was complex but successful. His post-operative recovery in the ICU was challenging, with pain and initial anxiety, but he was walking within two days. Six months later, his energy has returned fully, and he has resumed running without limitations. Emotionally, he transitioned from fear and frustration over a 'failed' childhood procedure to immense relief and a newfound appreciation for his resilience and the surgical team's skill.
Cardiac surgeons for ASD Closure Redo
Explore experienced cardiac surgeons who regularly perform asd closure redo and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore