Atrial Septal Defect Surgery in India by the best Cardiac Surgeons-video
Atrial septal defect surgery in India is performed by certified Cardiac Surgeons and it is available at various hospitals that have an array of world class facilities. Indian Cardiac Surgeons with the assistance of capable nursing staff ensure quality and precise medical administration during the surgery. Indian Cardiac surgeons are highly qualified and administer the best-available medical services across all major disciplines of medicine, making India the most preferable destination for cardiac surgery / treatment. People prefer Atrial septal defect surgery in India not only because the price is reasonable but also because it is performed by using the latest cutting-edge technology.
Atrial septal defect sometimes referred to as a hole in the heart, is a type of congenital heart defect which enables blood flow between the left and right atria via the interatrial septum. The interatrial septum is the tissue that divides the right and left atria. Without this septum, or if there is a defect in this septum, it is possible for blood to travel from the left side of the heart to the right side of the heart, or vice versa. Irrespective of interatrial communication bi-directions, this results in the mixing of arterial and venous blood. The mixing of arterial and venous blood may or may not be hemodynamically significant, if even clinically significant. This mixture of blood due to atrial septal defect may or may not result in what is known as a shunt. The amount of shunting present, if any, dictates hemodynamic significance.
Symptoms of atrial septal defect –
· Poor appetite
· Poor growth
· Fatigue and tiredness during activity
· Shortness of breath
· Lung problems and infections, such as pneumonia
Procedure – In this video before the atrial septal defect surgery begins, a heart monitor will be connected to the patient that will show the continuous read-out of the heart rate and rhythm throughout the surgery. The patient will be given a mask through which he will breathe. Once the patient is asleep, the anesthesiologist will put a breathing tube into his windpipe. This tube is attached to a ventilator that will do the breathing for the patient during their surgery. Once the ventilator is secured, the anesthesiologist will place several intravenous catheters in the patient’s veins. Once the catheters are secured, intravenous fluids and medication are given through them throughout the operation while another special catheter is placed in an artery. Once all the lines and tubes are in place, a transesophageal echocardiogram (TEE) is performed. A cardiologist will place a probe into the patient’s mouth and gently guide the probe down the esophagus. The TEE probe rests behind the heart and provides the surgeon with a continuous picture of the structures of the heart during the operation. When the TEE is completed, the surgeon begins the atrial septal defect surgery. Atrial septal defect surgery is a type of open-heart surgery. In this type of surgery the surgeon makes an incision usually at or below the top of the breastbone and goes straight down the sternum.
After the incision is made, the breastbone is separated to expose the heart. The patient is then placed on the heart-lung bypass machine, a device that provides blood flow to the body and bypasses the patient’s heart and lungs. Diverting the heart’s blood flow to the bypass pump allows the surgeon to open the heart and operate on the structures inside the heart. The heart-lung bypass machine provides continuous oxygenated blood to the other organ systems during the open-heart surgery. Once the patient is on bypass, the actual surgical repair begins. In the atrial septal defect surgery a patch is created by the surgeon from either the patient’s own pericardial tissue or a synthetic material such as goretex. The patch is then sutured into place to close the defect. The atrial incision is then closed with sutures.
Once the atrial septal defect surgery is completed, the patient will be weaned gradually off of the heart-lung bypass machine until the newly repaired heart is managing all the blood flow again. Chest tubes will then be placed to drain the surgical area. These tubes are positioned at the base of the incision. There will be one to three chest tubes placed for most surgical procedures. Temporary pacing wires are also placed at this time. These are very small wires that are positioned on one or both sides of the incision. These pacing wires may be used temporarily to pace the heart rate and rhythm if needed in the post-operative period. Intra cardiac monitoring lines may be placed depending on the type of surgical repair. These special catheters are placed in the chambers and vessels of the heart to provide the surgeon and the postoperative team with valuable information about the pressures within the heart and lungs. A postoperative TEE will be performed which provides the surgeon with valuable information after the surgical repair. Once the TEE is completed, the surgeon will close the sternum. The sternal bone is brought together, and stainless steel wire secures the sternum. The type of skin closure in the atrial septal defect surgery depends on age and weight of the patient.
Risks associated with Atrial Septal Defect surgery -
4) Heart attack.
The reason for the high success rate of Atrial Septal Defect Surgery in India is because of the staffing levels of the hospitals that are set in such a way that it completely ensures prompt compassionate care for every medical or surgical patient. Atrial septal defect surgery in India is available at various hospitals of Mumbai, Bangalore, Hyderabad, Chennai and New Delhi. These hospitals serve patients with excellent quality by providing the finest clinical integration of patient care and also provide intensive follow up care for speedy recovery.
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