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Treatment Cost

Atrial Septal Defect Closure

        • ASD Closure Surgery cost in India ranges between USD 4900 to USD 5500.
        • The stay in hospital is for 10 days and 10 days outside the hospital.
        • Depending on complexity of disease, the success rate of ASD Closure Surgery is 98.5%.
        • Tests required before ASD Closure Surgery are Chest X-Ray, Physical Examination, Electrocardiogram (ECG ) and Echocardiogram.

Treatment Cost

ASD Closure - Adult Price

USD 4900( 365,246 Indian Rupee )

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More About Treatment

Atrial Septal Defect (ASD) is a common type of congenital heart disease sometimes called a hole in the heart in which there is an abnormal opening in the wall between the upper chambers (left and right atria) of the heart.

These often will close on their own by school age. Patient with medium size defects may not have any problems until their middle age and patients with smaller defects can lead a full healthy life without even knowing it.ASD is very easily repaired with minimally-invasive techniques or surgical procedures.

Signs and Symptoms of ASD

Patients with ASD usually have a Heart murmur.Depending on the size of the atrial septal defect patient may experience symptoms like:

  • Breathlessness
  • Fatigue
  • Poor appetite
  • Heart palpitations
  • A decrease in exercise capacity
  • Cyanosis
Diagnosis and Tests for ASD
  • Physical examination:On auscultation patients with ASD usually have a heart murmur
  • Chest X-ray:The heart may be enlarged
  • Echocardiogram:An echo can show the pattern of blood flow through the atrial septal opening and determine the opening’s size
  • Electrocardiogram (ECG ):Testing for electrical activity of the heart, shows arrhythmias
Treatment for Atrial Septal Defect closure

Depends on the size, locationand severity of the defect. Very small ASDs might not need any treatment, except follow-up visits for observation. Medium-to-large-sized ASDs may need closure by device or surgical correction. Different types of the procedures can be performed for ASD closure :

Open surgery for ASD:
  • Surgery performed to correct the defect, surgical closure of an ASD involves closing the defect with a patch under direct visualization.
  • The procedure is done under general anesthesia.
  • Patients are supported by a heart-lung machine.
  • ASD is approached through an opening in the right atrium.
  • Smaller ASDs can simply be closed using a suture. For larger ASDs, a patch is usually used to close the hole.

Read:Can surgery be done using keyhole incisions?

Minimally Invasive Surgery for ASD repair
  • The procedure performed under general anesthesia.
  • Surgeons perform the operation by making only a small 4-6 cm incision in the chest instead of the large midline-incision.
  • The heart-lung machine is used allowing the heart to be stopped for the sewing of the patch.
  • A soft retractor is inserted, which gently opens the space between the ribs, enabling the insertion of specialized minimally invasive instruments.
  • An endoscope is inserted that providesa high-resolution image of the heart and the ASD.
  • Using this technique patients recover more quickly, and the minimal scar will be barely visible after the patient recovers.

To know about Minimally Invasive Atrial Septal Defect (ASD) Closure,clickhere.

After Surgical Repair
  • Patient hospitalized for 3 to 4 days after surgery.
  • The incision area may feel sore numbness, itchiness, tightness around the incision area.
  • After surgical ASD repair, the main medical concern is the healing of the chest incision.
  • The first few days at home, should relax doing quiet activities such as reading, sleeping, and watching TV.
  • It takes about 6 weeks for a chest incision to heal and able to return to normal activities.
Before Procedure
  • Medical history noted and clinical examination of the child performed.
  • Adviced general tests to check for fitness of surgery.
  • Counselled regarding the procedure.
During Procedure
  • Usually performed in cardiac catherization lab.
  • Closing thedefect using catheter inserted through blood vesse.l
  • The catheter is placed in the right femoral vein and guided into the right atrium.
  • When it is in the right place, one disc opens up as the device is moved out of the catheter. The tube portion plugs the hole and the other disc opens up on the opposite side of the hole.
  • To visualize the catheter a type of X-ray called fluoroscopy is used.
  • Once the device is in place, the catheter is pulled out.
After Procedure
  • Usually overnight hospitalization for monitoringto make certain no complications.
  • Patientdischarged next day after evaluation and kept on oral antibiotic.
  • Subacute bacterial endocarditis prophylaxis is recommended for six months or until complete closure is obtained.
  • A cardiologist may advise some physical activity restrictions for a short time.
  • There's a small risk of blood clots forming on the closure device while new tissue heals over it, Medications given to prevent blood clots .
  • Follow-upappointments after the closure, making sure that the ASD is properly closed.
Complications of ASD Closure
  • Bleeding
  • Infectionand
  • Displacement of the blocking device from where it was placed
  • Transient Arrhythmia
  • Allergic reaction to the device
  • Clot formation
Prognosis of ASD closure

The long-term prognosis of ASD closure is good and usually, no additional surgery or catheterization are needed, however regular monitoring with tests like echocardiography, ECG, stress test etc is essential.

Factors Affecting Cost Of Atrial septal defect closure

The cost to the patient depends on a variety of factors like:

  • The hospital, the patient chooses
  • Type of room and number of days hospitalised
  • Fee for the team of doctors and OT charges
  • Cost of medications
  • Standard test and diagnostic procedures.
  • Cost of the procedure opted surgical or transcatheter approach
  • Cost of the follow – up care required after the procedure?

Recommended:Device Closure - ASD VSD Cost in India


Q: Is diagnosis of ASD fatal?
A: Not really, Atrial Septal Defects are the most benign congenital heart defects. A small percentage may become smaller over time and close on there own. If not, they can be closed by the cardiologist with a device or by the surgeon.

Q: What are the types of Atrial Septal Defects?
A: There are different types of ASD defects:

  • Ostium secundum atrial septal defect- It is the most common type of ASD.
  • Ostium primum atrial septal defect.
  • Sinus venosus atrial septal defect.
  • Coronary sinus atrial septal defect.

Q: What are the causes of ASD?
A: There is no clear cause for ASD though Genetic defects may play a part.

Q: What are the long-term complications of Atrial Septal Defect?
A: Patients with significant ASD frequently experience complications such as:

  • Pulmonary hypertension
  • Atrial arrhythmia
  • Right-sided heart failure
  • Stroke

Q: Is Atrial Septal Defect life threatening?
A: It depends on:

  • Very small defects of (less than 5 millimeters or ¼ inch) are less likely to cause problems.
  • Larger defects can cause mild to life-threatening problems like Right-sided heart failure, stroke etc.

Q: When can catheter technique not be used in the treatment of ASD?
A: Open surgery should be preferred in treatment when:

  • Size of ASD is large or location unusual.
  • Or if there are other associated heart defects.

Q: What is closure device?
A: The closure device is made of metal and mesh material with different-sized discs on either end and is used for closing the hole in the atrial septum.

Q: What are the advantages of minimally invasive surgery?
A: Minimally invasive techniques result in:

  • Reduced pain after surgery
  • A shorter hospitalization
  • Faster recovery

Q: Is it possible to ASD remain unsymptomatic till adult?
A:Depends on the size and the amount of blood it is allowing to leak. Patient with medium size defects may not have any problems until their middle age and patients with smaller defects can lead a full healthy life without even knowing it.

Q: What happens when ASD isleft untreated till adulthood?
A: If ASD that isn't treated in childhood can lead to health problems later Including:

  • Increased load on the heart and atrial arrhythmia.
  • There might be an increased risk for stroke because a blood clot could pass through the hole in the septum, and travel to the brain.
  • Pulmonary hypertension may develop over time.

Q: What are the warning signs after ASD closure?
A: The various warning signs are:

  • Fever
  • Breathing trouble
  • A bluish color around the mouth or on the lips and tongue
  • Listlessness or decreased activity level
  • Increasing pain, tendernessor pus oozing from the incision

Q: Will I need more surgery after ASD closure?
A: Once an ASD has been closed, it's unlikely that more surgery will be needed.

Q: When can I fly after the procedure?
A: Depending on the type of procedure performed and also if there are any associated complications but you should check with your surgeon regarding safe air travel, also many airlines have their own protocols if a passenger has had recent surgery.

Q: What are the eligibility requirements for a medical visa to India?
A: If you have a valid passport and visa and are seeking medical treatment in a recognized and reputed hospital in India then you can apply for a medical visa to India. Up to 2 attendants who are blood relatives can accompany the patient under separate attendant visas.

Q: Are the hospitals in your panel internationally accredited?
A: The Joint Commission International (JCI), which is a US-based agency, awards accreditation to international hospitals that meet the rigorous standards set forth by the commission. At Vaidam, we are proud to associate with several JCI accredited Indian hospitals in our panel.

Q: Do I need to carry a yellow fever vaccination certificate when I travel to India?
A: Yes, you need to carry valid yellow fever if you are traveling from Africa, South America or other areas where yellow fever is found. Also, all travellers from Afghanistan, Pakistan, Kenya, Ethiopia, Nigeria, Somalia and Israel must carry an Oral PolioVaccination (OPV) Certificate which must be taken not earlier than 6 weeks before entry. This rule applies to both adults and children.

Q: Can I get visa on arrival if I travel to India for my treatment?
A: Yes, if you are from the following countries, Japan, Cambodia, Finland, Indonesia, Philippines, Luxembourg, Myanmar, New Zealand, Singapore, South Korea and Vietnam. Travellers from Bhutan, Nepal and Maldives (up to 90 days) can enter India without a visa.?