Holes in Heart… Is it so easy to close?
Mumbai, 16th March, 2016: Holes carry one of the major burdens of structural diseases of the heart and can be of various sizes and at different positions. Their size and position determines the symptoms and signs that develop in patients, most of which often require their timely closure.
Treatment of holes can be done surgically or through device closure. With the advent of new techniques, expertise, and better understanding of holes in the heart, almost all holes can be closed without any surgery.
Surgical closure requires a major procedure including sternotomy (cutting the bones of chest wall) and arresting the heart (cardioplegia) with associated complications of wound healing.
Post surgery, the patient may have to stay for 7-10 days for post surgical closures. Moreover, the surgical scar post-operatively is cosmetically very unpleasant especially for young ladies.
Device closure on the other hand is a safe well established procedure in the hands of the experienced.
Dr. Brajesh Kunwar, performed two large ASD (Atrial Septal Defect, which are holes in atrial septum of the heart) device closures in two different patients on 01/03/2016 with excellent results. The whole procedure was done in local anesthesia by using a small needle introduced through the leg. Both the patients were discharged in 2-3 days each.
The ASD sizes were 26mm and 22mm with accepted morphology of holes for device closure.
With advancement in technique and awareness, the device closure of holes in the heart is the preferred safe modality while treating such disorders.