About CABG with ASD Closure
Key Highlights
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Addresses two major cardiac issues in a single surgery, reducing overall recovery time compared to separate procedures.Improves heart function and efficiency by restoring proper blood flow and correcting structural defects.Reduces long-term risks associated with untreated ASD, such as stroke, pulmonary hypertension, and heart failure.Alleviates symptoms like chest pain (angina), shortness of breath, and fatigue.Performed by specialized cardiac surgeons using advanced techniques like cardiopulmonary bypass for precision and safety.
Who is this surgery for?
- Patients diagnosed with both significant coronary artery disease (requiring CABG) and a hemodynamically significant Atrial Septal Defect (ASD).
- Presence of angina (chest pain) or heart failure symptoms alongside an ASD causing right heart volume overload.
- Evidence of reduced blood flow to the heart muscle on diagnostic tests (like angiogram) concurrent with an ASD.
- To prevent future complications like paradoxical embolism (stroke), pulmonary hypertension, or arrhythmias.
- When the benefits of correcting both conditions simultaneously outweigh the risks of two separate surgeries.
How to prepare
- Comprehensive cardiac evaluation including echocardiogram, coronary angiography, and possibly a cardiac MRI or CT scan.
- Pre-operative blood tests, chest X-ray, and ECG to assess overall health.
- Consultation with the cardiac surgeon, anesthesiologist, and possibly a cardiologist to discuss the procedure plan.
- Management of current medications; patients may need to stop blood thinners (like aspirin or warfarin) several days before surgery.
- Fasting for 8-12 hours before the procedure as instructed by the medical team.
- Informed consent process detailing the risks, benefits, and alternatives of the combined surgery.
Risks & possible complications
- General surgical risks: Bleeding, infection at the incision or chest site, and adverse reactions to anesthesia.
- Cardiac-specific risks: Irregular heart rhythms (arrhythmias), heart attack, stroke, or low cardiac output.
- Risks related to cardiopulmonary bypass: Blood clot formation, lung or kidney dysfunction.
- Specific to ASD closure: Residual shunt (leak), device-related complications (if device closure is part of the approach), or injury to nearby heart structures.
- Long-term risks: Graft failure in CABG, need for re-operation, or development of pericarditis (inflammation of the heart lining).
Recovery & hospital stay
- Initial 1-2 days in the Cardiac ICU for close monitoring of heart function, vital signs, and drainage tubes.
- Progressive mobilization; sitting up, standing, and walking short distances with assistance within a few days.
- Pain management with medications to ensure comfort and facilitate deep breathing exercises to prevent lung complications.
- Incision care instructions to keep the sternal (chest bone) and leg (if a graft was taken) wounds clean and dry.
- Cardiac rehabilitation program enrollment, starting with gentle exercises and gradually increasing activity under supervision.
- Follow-up appointments for wound checks, medication adjustments (like blood thinners or cholesterol drugs), and echocardiograms to assess heart repair.
- Adherence to a heart-healthy diet, smoking cessation, and strict medication regimen as prescribed.
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Typical hospital stay: 7-14 days
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Expected recovery time: 6-12 weeks
Frequently Asked Questions
If you are considering cabg with asd closure in India, these questions and answers can help you make a confident, informed decision.
Popular choices for cabg with asd closure 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 cabg with asd closure. 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 cabg with asd closure compare across other countries where we have data.
Top hospitals for CABG with ASD Closure in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing cabg with asd closure.
David Das, a 58-year-old restaurant owner...
David Das, a 58-year-old restaurant owner from Kolkata, India, had always been the energetic heart of his family business. For the past year, he'd been struggling with crushing chest pain and breathlessness that forced him to sit out from the kitchen he loved. A cardiac workup revealed a shocking double diagnosis: severe triple-vessel coronary artery disease requiring bypass and a previously undetected Atrial Septal Defect (ASD), a 'hole in the heart' from birth. His cardiologist explained that while the ASD had been silent for decades, the strain from his blocked arteries now made it dangerous, allowing deoxygenated blood to mix and reducing his heart's efficiency. The recommendation was a combined procedure: Coronary Artery Bypass Grafting (CABG) to restore blood flow and surgical closure of the ASD. David was terrified of the invasiveness of open-heart surgery and the long recovery, fearing for his business and his role as provider. The surgery was long but successful. His recovery in the ICU was difficult, with pain and profound fatigue, but each day he grew stronger. Six months post-op, after dedicated cardiac rehab, David is back at his restaurant, managing with renewed energy and without pain. Emotionally, he moved from fear and vulnerability to immense gratitude. He sees the surgery not as a weakness but as a second chance, and he now advocates for heart health in his community.
Cardiac surgeons for CABG with ASD Closure
Explore experienced cardiac surgeons who regularly perform cabg with asd closure 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