Heart Centers in India - Ideal for Ventricular Septal Defect Surgery - Video

International Patient Experience

Hannah Adiyemi
Nigeria

Hello, I am Hannah Adiyemi from Nigeria. We visited India for my baby’s ventricular septal defect surgery through India Cardiac Surgery Site. Kay was diagnosed with (VSD), a hole in the heart and was referred to a cardiologist in my country. However, I wasn’t ready to get the surgery with lack of medical facilities in Nigeria. So, I began researching abroad to get the proper treatment for Kay. Luck would have it, I came across your website and send my query. I received a call from them and after discussion, decided to travel down to India. At the hospital, we met the surgeon who explained about the surgery. The nurses were very friendly and compassionate. The medical team was good because they were so thorough and wonderful. The surgery went smoothly. I want to thank everyone who helped us arrange my daughter’s medical treatment in India.

Various Heart Centers in India at Mumbai, Bangalore, Hyderabad, Chennai and New Delhi are offering various heart treatments / surgeries including Ventricular Septal Defect Surgery at an affordable price. Getting Ventricular Septal Defect Surgery at one of the Heart Centers in India is a good option for you because these hospitals have the latest state of the art medical facilities. Although India is a developing country, various medical facilities available here at so good that they are at par with corporate hospitals of the west and sometimes even better.

A ventricular septal defect is a defect in the ventricular septum, the wall dividing the left and right ventricles of the heart. A person with ventricular septal defect has a opening in the wall between the right ventricle and the left ventricle which allows oxygenated blood from the left ventricle to flow across to the right ventricle. The ventricular septum consists of an inferior muscular and superior membranous portion and is extensively innervated with conducting cardiomyocytes. The membranous portion, which is close to the atrioventricular node, is most commonly affected in adults and older children

Symptoms of ventricular septal defect

• Shortness of breath
• Fast breathing
• Hard breathing
• Paleness
• Failure to gain weight
• Fast heart rate
• Sweating while feeding
• Frequent respiratory infections

Procedure

In this video before the ventricular septal defect surgery begins, the patient is given anesthesia. A heart monitor will be connected to the patient that will show a 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 unconscious, 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. There may be one or two more IVs placed.

Once the intravenous catheters are secured, intravenous fluids and medication are given through them throughout the ventricular septal defect surgery. Another special catheter is placed in an artery. The arterial line is used to monitor blood pressure during and after surgery. A nasogastric tube is placed in the nose and gently guided down to the stomach. 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, it is time for the surgeon to begin the ventricular septal defect surgery.

The incision usually begins at or below the top of the breastbone and goes straight down the sternum. The breastbone is then 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. Depending on the location of the defect, an incision will be made in the right atrium, the pulmonary artery, or the outflow tract of the right ventricle. A patch is created by the surgeon from either the patient’s own pericardial tissue or a synthetic material such as dacron. The patch is then sutured into place to close the defect. The infundibular incision is then closed with sutures.

Once the ventricular septal defect surgery procedure 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 1-3 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. Intracardiac 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. After ventricular septal defect surgery TEE will be performed this provides the surgeon with valuable information post 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 the surgeon uses is dependent on age and weight of the patient. Clear, absorbable skin suture are applied on the length of the incision on the inside of the chest. A clear knot is seen at the top and the bottom of the incision. To secure the outside of the incision, adhesive strips (steri-strips) are applied to the surface of the skin along the length of the incision.

With wide pool of resources, a number of Heart Centers in India are offering a comprehensive range of diagnostic and therapeutic options for several heart diseases / conditions. Heart Centers in India are backed by cutting-edge technology and internationally trained, highly qualified medical professionals, who administer the best-available medical services across all major disciplines of medicine and surgery. Heart Centers in India offer various medical treatments requiring high medical expertise. With state-of-the-art facilities and an unparalleled commitment to patient care, many heart patients from all over the world prefer medical treatment in India.

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