Learn how to open heart surgery to treat ventricular septal defect

The article was consulted with Dr. Nguyen Luong Tan - Head of Cardiology Department - Cardiovascular Center - Vinmec Central Park International General Hospital.

Ventricular septal defect is a congenital heart disease that appears abnormally from birth. Children with this defect are often slow to grow and have many dangerous complications if not treated early.

A ventricular septal defect is a hole in the septum between the 2 ventricles. This hole causes the blood on both sides of the ventricles to mix together, making the blood going to the body contain less oxygen.
Ventricular septal defect can cause heart failure because the heart does not pump enough blood. In children, if this defect is close to the aortic valve, it can damage the valve as the baby grows. At the same time, it makes the baby grow slowly with many dangerous complications if not treated promptly.

Due to the evolution of the types of ventricular septal defect are diverse and complex. Therefore, indications for treatment of ventricular septal defect will need to be based on factors such as age, blood pressure, anatomical lesions and response to medical therapy.

Treatment of ventricular septal defect will have 3 main methods:
Medical treatment combined with medical monitoring. Open heart surgery. Close the ventricular septal defect through the catheter. If the ventricular septal defect is small, there is usually no need for any treatment. Some children with small ventricular septal defect may resolve on their own as the child gets older.
If the ventricular septal defect is large, then open heart surgery will be indicated to prevent dangerous complications that may occur. Surgery may be done as early as the first few months of the baby's life or depending on the child's medical condition. Ventricular septal surgery is a fairly safe method, the ventricular septal defect will be closed after the surgery is completed.

Open heart surgery method has been applied by many developed countries such as USA, Japan, European countries...
Painless open heart surgery procedure Painless open heart surgery is carried out in steps. The basics are as follows:
The patient will be given general anesthesia, this helps the patient to fall asleep and not feel any pain during the surgery. The doctor makes an 8- to 10-inch incision in the chest. The surgery cuts through the layers to expose the heart. Once the heart is exposed, the patient will be connected to a heart-lung machine or circulation pump during surgery. The heart will temporarily stop beating while connected to the machine. The machine will replace the heart and lungs to perform the function of adding oxygen to the blood and transporting blood to feed the body. After the surgery, the doctor will close the incision and stitch the cut, completing the painless open-heart surgery.

Advantages of painless open-heart surgery The advantage of this method is that the entire activity of the heart and lungs remains normal during surgery thanks to the machine. The surgery time is also shorter, the patient has less blood loss, the incision is small, painless, the risk of stroke is reduced, the hospital stay is reduced, of course, the cost of heart surgery is reduced. This is a surgical method indicated for many cardiovascular diseases requiring surgery, including ventricular septal defect, atrial septal defect, and 1-valve disease. Especially for female patients, who focus on aesthetics after surgery. Ventricular septal defect can cause serious complications, beyond the stage, it will not be possible to operate anymore, so patients need to be examined early for timely diagnosis and treatment. Vinmec routine ventricular septal surgery.
Up to now, Vinmec Central Park International General Hospital has successfully performed 250 successful ventricular septal and aortic regurgitation surgeries. The hospital is home to many well-qualified domestic and international doctors. Modern facilities and all leading modern equipment, such as the modern cardiovascular operating room system (Operation Room) allow performing surgical techniques with high precision. 3 Tesla MRI machine, 640 series magnetic resonance imaging machine.... It is thanks to these conditions that Vinmec has performed complex surgeries on heart valves, coronary vessels, aortic diseases, .. .with a high success rate.
In order to help Cardiology patients in general access optimal treatment at a cost-effective price compared to treatment abroad, Vinmec Central Park International Hospital applies a heart disease treatment model. package circuit. This is a treatment method being carried out at leading Cardiovascular Centers in the US and many other developed countries such as Mayo Clinic, Cleveland Clinic, Pennsylvania....

Cardiovascular Package Program ( BUNDLE PAYMENT) will be applied with one of 4 techniques:

Percutaneous aortic valve replacement (TAVI intervention) Coronary interventional stenting Aortic bypass surgery Ventricular septal surgery; When there is an indication for cardiovascular treatment with one of the above 4 methods, the patient will be consulted to select and sign a contract to use the appropriate method. The contract covers the treatment method, length of hospital stay, number of follow-up visits, and a fixed cost. During the contract treatment period, the patient does not have to pay extra costs.
Vinmec Central Park Heart Center has successfully treated over 98% of cases of TAVI intervention, open heart surgery, painless open heart surgery by combining ESP, effective even in severe cases. , elderly.
Multi-specialty treatment: Patients will have a comprehensive and thorough treatment plan by a multi-specialty team, coordinated from many fields; The treatment regimen is standardized according to the standards of prestigious cardiovascular associations in the world; Patients have direct access to the most appropriate and optimal regimen, avoiding the need to test many different treatment methods that are costly or reduce the effectiveness of treatment; Increase recovery, reduce hospital stay; Peace of mind about the treatment plan and proactive about treatment costs; Vinmec Central Park Cardiovascular Center is one of the key centers of Vinmec Health System, gaining JCI global certification. The center is invested with modern equipment and well-trained human resources, including many leading experts in the field of Cardiology such as:
Professor, Doctor, Doctor Vo Thanh Nhan: First expert Vietnam's pioneer in percutaneous aortic valve replacement (TAVI); pioneer in the implementation of new and specialized cardiovascular techniques: MitraClip, StentGraft... Dr., Doctor Nguyen Luong Tan : Expert in adult and pediatric cardiothoracic surgery. The doctor is well-trained in the country and many centers have the world's leading medical background such as: France, Australia... Master, Doctor Nguyen Duc Hien: Has more than 12 years of experience in the field of cardiology especially especially Cardiovascular and thoracic surgery.... Vinmec Central Park Heart Center has successfully treated over 98% of cases of TAVI intervention, open heart surgery, painless open heart surgery by combination ESP technique, effective even with severe and elderly cases. Vinmec Central Park is also the first hospital in Vietnam to be recognized as an independent American standard TAVI intervention center.