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PAEDIATRICS & PAEDIATRIC SURGERY Procedure

Transcatheter Amplatzer Occluder & Open Heart Patch Correction

Surgical and interventional transcatheter closure/repair of congenital cardiac anomalies including Ventricular Septal Defect (VSD), Atrial Septal Defect (ASD), Patent Ductus Arteriosus (PDA), and Tetralogy of Fallot (TOF).

Congenital heart defect correction
Congenital heart defect correction

Clinical Overview & Disease Information

Surgical and interventional transcatheter closure/repair of congenital cardiac anomalies including Ventricular Septal Defect (VSD), Atrial Septal Defect (ASD), Patent Ductus Arteriosus (PDA), and Tetralogy of Fallot (TOF).

Signs & Symptoms

Early Symptoms
  • Infant poor feeding, sweating while nursing, and failure to gain weight
  • Mild tachypnea (rapid breathing) and persistent respiratory infections
Common Symptoms
  • Cyanosis (bluish skin tint of lips and tongue during crying)
  • Heart murmur detected during routine pediatric examination
  • Fatigability and squatting during physical play (TOF sign)
Emergency Symptoms
  • Acute hypercyanotic "Tet spell" with severe hypoxia and loss of consciousness

Causes & Risk Factors

Primary Causes & Etiology

  • Incomplete embryological septation of fetal heart chambers (VSD / ASD)
  • Maternal rubella infection or uncontrolled maternal diabetes
  • Genetic chromosomal syndromes (Down syndrome Trisomy 21)

Who is at Higher Risk?

  • Infants and children with diagnosed congenital heart lesions seeking transcatheter or open surgical repair

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
Pediatric Echocardiogram with Color Doppler & 3D Reconstruction Quantifies shunt direction (Left-to-Right / Right-to-Left), Qp:Qs ratio, and valve function
Diagnostic Pediatric Cardiac Catheterization & Angiography Measures pulmonary vascular resistance (PVR) and anatomy prior to closure

Comprehensive Treatment Options

Percutaneous Transcatheter Amplatzer Septal Occluder Device Closure

Femoral vein catheterization placing self-expanding nitinol double-disc Amplatzer device across ASD/VSD under TEE guidance.

Key Advantages:
100% keyhole incisionless procedure avoiding open heart surgery
Discharge within 24 to 48 hours
Immediate normalization of cardiac blood flow

Open Heart Dacron Patch VSD Closure & Complete Tetralogy of Fallot Repair

Cardiopulmonary bypass VSD patch closure and RVOT relief.

Recommended For:
Large VSDs unsuitable for device closure or complex TOF/TGA

Advanced Medical Technologies Available in Partner Hospitals

Amplatzer Septal Occluder Device Pediatric Color Doppler Echocardiography 3D Cardiac CT Reconstruction

Possible Complications If Untreated

Transient pediatric arrhythmia
Device embolization (< 1%)
Postoperative pericardial effusion

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Pediatric ICU / HDU Recovery 24 to 48 hours
Pediatric Ward Recovery & Normal Feeding 3 to 5 days
Full Active Pediatric Play Normalization 3 to 4 weeks

Recommended Post-Treatment Diet

  • High calorie infant formula or breast milk
  • Fluid balance as advised

Essential Lifestyle Changes

  • Avoid rough physical contact play for 4 weeks post-open surgery
  • Keep sternal incision clean and dry
  • Administer oral medications at set times
When to Contact a Doctor Urgently:
Sudden bluish skin tint (Cyanosis)
Fever > 100.4°F (38°C)
Rapid breathing or poor feeding

Prevention & Long-Term Health

Routine fetal anomaly ultrasound screening and pediatric echocardiography

Frequently Asked Questions

Can congenital heart defects be repaired without open-heart surgery?

Yes, many ASDs, VSDs, and PDAs can now be permanently closed using keyhole transcatheter device occluders without open surgery.

Top Recommended Specialists Available

Dr. Ashutosh Gupta

Dr. Ashutosh Gupta

Head – Medical Genetics

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Dr. Aseem R. Srivastava

Dr. Aseem R. Srivastava

Chief – Pediatric CTVS & Chief – Adult CTVS

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Dr. Hemant K. Gogia

Dr. Hemant K. Gogia

Sr. Consultant - Paediatrics & Neonatology

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Dr. Ajit Singh Baghela

Dr. Ajit Singh Baghela

Sr. Consultant - Paediatric Neurology

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Dr. Rahul Naithani

Dr. Rahul Naithani

Chief - Hematology, Oncology & Bone Marrow Transplant

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Dr. Rajiv Chhabra

Dr. Rajiv Chhabra

Chief - Paediatrics & Paediatric Critical Care

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Dr. Kuldeep Singh

Dr. Kuldeep Singh

Sr. Consultant - Paediatric Surgery & Paediatric Urology

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Dr. Mukesh Patekar

Dr. Mukesh Patekar

Unit Head - Medical Oncology

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Dr. Nidhi Rawal

Dr. Nidhi Rawal

Chief - Paediatric Cardiology

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Dr. Nitin Goel

Dr. Nitin Goel

Sr. Consultant - Paediatric Surgery & Paediatric Urology

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Dr. Padam Yadav

Dr. Padam Yadav

Consultant - Paediatrics & Neonatology

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Dr. Prabhat Maheshwari

Dr. Prabhat Maheshwari

Chief - Neonatal & Paediatric Critical Care

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Dr. Sakshi Karkra

Dr. Sakshi Karkra

Head - Pediatric Gastroenterology & Hepatology

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Dr. Sanjay Sarup

Dr. Sanjay Sarup

Head – Orthopaedics (Unit-II) & Chief – Paediatric Orthopaedics & Spine Surgery

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Dr. Shubhra Shri Gupta

Dr. Shubhra Shri Gupta

Principal Consultant - Neonatology & Incharge - Pediatric Cardiac Critical Care

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Dr. Snehal Deshpande

Dr. Snehal Deshpande

Consultant - Paediatric Physiotherapy & Neuro-Rehabilitation

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Dr. Subodh Chandra Pande

Dr. Subodh Chandra Pande

Chief - Radiation Oncology & Co-Chief - Cyberknife Centre

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Dr. Sumeet Arora

Dr. Sumeet Arora

Sr. Consultant - Paediatric & Adolescent Endocrinology

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Dr. Vijay Mohan Hanjoora

Dr. Vijay Mohan Hanjoora

Chief - Cardiac Anaesthesia

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Dr. Kanika Singh

Dr. Kanika Singh

Sr. Consultant - Medical Genetics

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Dr. Arun Singh Danewa

Dr. Arun Singh Danewa

Senior Consultant – Pediatric-Haemato-Oncology & Bone Marrow Transplant (Unit II)

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
Congenital heart defect correction $45,000 $5,500 $12,000 $14,000

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Commonly Prescribed Medications

  • Furosemide 1mg/kg
  • Spironolactone
  • Pediatric Aspirin 3-5mg/kg
  • Prophylactic Antibiotics

International Patient Guide

Estimated Stay in India:
Pediatric Echo & Cardiac CT Workup 1 - 2 days
Cardiac Surgery / Catheterization & ICU Stay 3 - 6 days
Post-Op Check & Return Flight 10 - 12 days total stay
Documents to Bring:
  • Child Passport & Visa
  • Pediatric Echo Report & Birth Certificate