ASD/VSD Closure in India
Also known as Atrial septal defect closure, ventricular septal defect closure, ASD device closure, VSD device closure, hole in the heart surgery, congenital heart defect closure
The short answer
ASD/VSD closure in India costs between $3,500 and $8,000, device closure at the lower end and open-heart surgical repair at the higher end, against $30,000 to $60,000 in the US. The procedure closes a hole between the heart's chambers using either a catheter-delivered device or a surgical patch, depending on the size and location of the defect.
About ASD/VSD Closure
Atrial septal defect (ASD) and ventricular septal defect (VSD) are holes in the wall, or septum, that separates the chambers of the heart. ASD affects the upper chambers and VSD the lower chambers. Both are among the most common congenital heart conditions, present from birth, and are sometimes only picked up in adulthood when a routine scan shows a heart murmur or an enlarged heart chamber. Left untreated, larger defects can strain the heart and lungs over time and lead to complications such as pulmonary hypertension or heart failure.
Device closure vs surgical closure
Whether a defect can be closed with a device or needs open-heart surgery depends on its size, location and the condition of the surrounding tissue. In device closure, a folding umbrella-shaped device is guided through a catheter from a vein in the groin and positioned across the defect, closing it without opening the chest. When the defect is too large, poorly positioned, or has insufficient surrounding tissue to anchor a device, surgical closure is done instead, where the defect is patched directly during open-heart surgery. Device closure, when suitable, means a shorter hospital stay and faster recovery.
Children and adults
ASD and VSD closures are performed on both children and adults. In children, timely closure prevents long-term strain on the heart and allows normal growth and activity. In adults, closure is usually recommended once the defect is confirmed to be significant enough to affect heart function, even if it has gone unnoticed for years. Age itself is not a barrier to treatment; the defect's anatomy is what decides the approach.
What decides the final cost
Device closure is generally the lower-cost option because it avoids open-heart surgery and a heart-lung bypass machine. The size and type of closure device, whether the defect is single or multiple, and whether it is a straightforward device closure or a more complex surgical repair all move the price within the quoted range. Your cardiologist confirms the approach and a firm estimate after reviewing your echocardiogram.
Why patients choose India for this
The same internationally approved closure devices used in US and European hospitals are used in India at a fraction of the cost, whether the defect needs a device or a surgical patch.
India's leading cardiac centres treat a high volume of ASD and VSD cases, in both children and adults, giving cardiologists and surgeons the pattern-recognition that comes with repeated experience across defect types.
Partner hospitals offer both catheter-based device closure and open-heart surgical repair, so the treatment plan is based on your specific anatomy rather than what one facility happens to offer.
Hospitals equipped for paediatric cardiology mean children are treated with age-appropriate anaesthesia, monitoring and post-procedure care, not adapted adult protocols.
ASD/VSD Closure cost
| Country | Indicative cost |
|---|---|
| India — with Nobel Medi Assistance | $3,500 – $8,000 |
| United States | $30,000 - $60,000 |
| United Kingdom | $19,000 - $32,000 |
| UAE / Middle East | $15,000 - $25,000 |
| Singapore | $18,000 - $30,000 |
Figures are indicative for international patients and depend on the hospital, the surgeon and your reports. Your exact cost is confirmed in writing after a specialist review — free, and with no obligation.
What the estimate covers
Included
- Cardiologist or cardiac surgeon fees
- Cath lab charges (device closure) or operation theatre and bypass machine charges (surgical closure)
- Closure device or surgical patch as per treatment plan
- Hospital stay in ICU/ward for the planned duration
- Routine medicines during hospital admission
- Nursing care during the stay
- Pre-discharge echocardiogram to confirm closure
Not included
- Diagnostic tests and cardiac workup done before arrival in India
- Flights, visa and travel insurance
- Accommodation once discharged from hospital
- A change from device closure to surgical closure decided during the procedure, if anatomy requires it
- Treatment for complications unrelated to the closure procedure
- Follow-up visits after returning home
How ASD/VSD Closure is done
- Consultation and reviewA cardiologist reviews the echocardiogram and history remotely to confirm whether device closure or surgical closure is the right approach, and gives an initial estimate.
- Pre-procedure workupOn arrival, echocardiography, ECG, blood work and, where needed, a CT scan confirm the exact size and position of the defect.
- Anaesthesia and accessUnder general anaesthesia, either a catheter is inserted through a vein in the groin (device closure) or the chest is opened and bypass started (surgical closure).
- Closing the defectFor device closure, the folding device is positioned across the hole and released once imaging confirms a good seal. For surgical closure, the defect is patched directly with a synthetic material or the patient's own tissue.
- Confirming closureAn echocardiogram is done immediately to confirm the defect is closed and the heart is functioning normally before finishing the procedure.
- Recovery and monitoringYou are moved to the ICU for monitoring, shorter for device closure and longer for surgical closure, before shifting to a regular room.
- Discharge and follow-up planYou go home with an activity plan, medication if needed, and a schedule for follow-up echocardiograms.
Recovery and what to expect
- First 24 hoursMonitored in ICU; device closure patients are often up and walking the same day, surgical closure patients start with monitored bed rest.
- 2-3 daysDevice closure patients are typically discharged; surgical closure patients remain in hospital for continued monitoring.
- 5-7 daysSurgical closure patients are usually discharged if recovery is on track, with a follow-up echocardiogram before discharge.
- 1-2 weeksLight activity resumes; a final check-up confirms healing before flying home.
- 4-6 weeksMost patients, including children, are cleared for normal activity, with periodic follow-up echocardiograms continuing after return home.
Specialists who perform this

Dr. Dharma Choudhary
Hematology / Bone Marrow Transplant 👑 20 years+ years
Dr Naresh Trehan
Cardiovascular & Cardiothoracic Surgeon 👑 45+ years
Dr. Z S Meharwal
Cardiac Surgery 👑 38+ years
Dr. Yugal Kishore Mishra
Cardiac Surgery 👑 43+ years
Dr. Udgeath Dhir
Cardiac Surgery 👑 18+ years
Dr. Rajneesh Malhotra
Cardiac Surgery 👑 34+ years
Dr. Sameer Mehrotra
MBBS, MD (General Medicine), DM (Cardiology), IBHRE-Certified Cardiac Device Specialist (CCDS) 👑 24+ years
Dr. Surendra Nath Khanna
Cardiac Surgery 👑 34+ yearsWhere it is done
Frequently asked questions
Will my defect need a device or open surgery?
Is ASD/VSD closure safe for children?
Can adults have an ASD or VSD closed even if it was never treated in childhood?
How long does device closure take to recover from?
Will the device or patch need to be replaced later?
How long do I need to stay in India?
Why is ASD/VSD closure so much cheaper in India than in my home country?
What would your ASD/VSD Closure cost?
Send your reports and a senior specialist sends back a written plan with costs within 24 hours. Free, with no obligation.



