Pediatric ASD/VSD Repair in India
Also known as Children's ASD closure, children's VSD closure, congenital heart defect repair in children, hole in the heart surgery for children, pediatric heart defect closure
The short answer
Pediatric ASD/VSD repair in India costs between $3,000 and $7,500, device closure at the lower end and surgical patch repair at the higher end, against $40,000 to $80,000 in the US. The procedure closes a congenital hole between the heart's chambers in a child, using either a catheter-delivered device or an open-heart surgical patch, depending on the defect's size and position.
About Pediatric ASD/VSD Repair
Atrial septal defect (ASD) and ventricular septal defect (VSD) are among the most common congenital heart defects, holes in the wall separating the heart's chambers that a child is born with. ASD affects the upper chambers, VSD the lower chambers. Small defects sometimes close on their own in early childhood, but defects that are large enough to affect the heart's workload need to be closed surgically to allow normal growth and prevent long-term strain on the heart and lungs.
Timing matters in children
Unlike many adult procedures, timing is a central part of pediatric ASD/VSD care. Large VSDs and related defects are often repaired within the first year of life, sometimes within the first six months, if they are affecting the baby's growth or breathing. ASDs are frequently repaired a little later, often around age 3 to 4, once the child is bigger and better suited to the procedure. Your pediatric cardiologist will confirm the right window for your child based on their specific defect and how they are growing.
Device closure vs surgical repair
Where the defect's size, position and surrounding tissue allow it, device closure is done through a catheter inserted in the groin, avoiding open-heart surgery entirely. When the defect is too large, in a difficult position, or the child is very young or small, surgical repair is done instead, closing the hole with a patch during open-heart surgery using a heart-lung bypass machine. Device closure means a shorter hospital stay and faster recovery, but not every defect is suitable for it.
Built around a child's needs
Pediatric cardiac care differs from adult care in more than technique. Anaesthesia dosing, monitoring equipment, ICU protocols and even the size of catheters and devices are scaled specifically for children. A dedicated paediatric cardiac intensive care unit (PCICU), staffed by teams trained in children's post-operative recovery, is a standard part of the care pathway for this surgery.
Why patients choose India for this
The same internationally approved closure devices and surgical techniques used for children in Western hospitals are used in India at a fraction of the cost.
India treats a very high number of congenital heart defect cases every year; our partner hospitals work with paediatric cardiac surgeons and cardiologists who see this specific defect regularly, not occasionally.
Partner hospitals run PCICUs staffed for children's post-operative recovery, with monitoring, anaesthesia and nursing protocols scaled for infants and young children, not adapted adult care.
Travelling internationally with a child for heart surgery is stressful; our team coordinates accompanying-parent visas, accommodation near the hospital, and a clear treatment timeline so families know what to expect at each stage.
Pediatric ASD/VSD Repair cost
| Country | Indicative cost |
|---|---|
| India — with Nobel Medi Assistance | $3,000 – $7,500 |
| United States | $40,000 - $80,000 |
| United Kingdom | $25,000 - $45,000 |
| UAE / Middle East | $20,000 - $35,000 |
| Singapore | $25,000 - $40,000 |
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
- Paediatric cardiologist and cardiac surgeon fees
- Cath lab charges (device closure) or operation theatre and bypass machine charges (surgical repair)
- Closure device or surgical patch as per treatment plan
- PCICU and ward stay for the planned duration
- Routine medicines during hospital admission
- Paediatric 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 for the child and accompanying parent(s)
- Accommodation once discharged from hospital
- A change from device closure to surgical repair decided during the procedure, if the defect's anatomy requires it
- Treatment for complications unrelated to the closure procedure
- Follow-up visits after returning home
How Pediatric ASD/VSD Repair is done
- Consultation and reviewA paediatric cardiologist reviews your child's echocardiogram and history remotely to confirm the defect, timing, and whether device closure or surgical repair is the likely approach.
- Pre-procedure workupOn arrival, echocardiography, ECG, blood work and, where needed, a CT scan confirm the exact size and position of the defect in your child's heart.
- 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 repair).
- Closing the defectFor device closure, a correctly sized folding device is positioned across the hole and released once imaging confirms a good seal. For surgical repair, the defect is patched with a synthetic material or the child's own tissue.
- Confirming closureAn echocardiogram is done immediately to confirm the defect is closed and your child's heart is functioning normally.
- PCICU recoveryYour child is moved to the paediatric cardiac ICU for monitoring, shorter for device closure and longer for surgical repair, before shifting to a regular room.
- Discharge and follow-up planYou go home with an activity plan appropriate to your child's age, medication if needed, and a schedule for follow-up echocardiograms.
Recovery and what to expect
- First 24 hoursMonitored in the PCICU; device closure children are often playful and eating normally the same day, surgical repair children begin with monitored bed rest.
- 2-4 daysDevice closure children are typically discharged; surgical repair children remain in hospital for continued monitoring.
- 6-8 daysSurgical repair children are usually discharged if recovery is on track, with a follow-up echocardiogram before discharge.
- 1-2 weeksContinued recovery at your accommodation in India; a final check-up confirms healing before flying home.
- 4-6 weeksMost children are cleared for normal activity, including school and play, with periodic follow-up echocardiograms continuing after return home.
Specialists who perform this

Dr. Krishna Subramony Iyer
Paediatric Cardiac Sciences 👑 40+ years
Dr Rajesh Sharma
Paediatric Cardiac Surgery 👑 30+ years
Dr. Kulbhushan Singh Dagar
Paediatric Cardiac Surgery 👑 32+ years
Dr. Aseem R. Srivastava
Paediatric Cardiac Surgery
Dr. Somesh Virmani
Paediatric Orthopaedics
Dr. Rekha Mittal
Pediatric Neurology 👑 31+ years
Dr. Ajit Singh Baghela
Pediatric Neurology 👑 15+ years
Dr. Rakesh Kumar Jain
Pediatric Neurology 👑 19+ yearsWhere it is done
Frequently asked questions
At what age should my child have this surgery?
Will my child need a device or open surgery?
Is this surgery safe for infants?
Can I stay with my child during the hospital stay?
Will my child need repeat surgery as they grow?
How long do we need to stay in India?
Why is this surgery so much cheaper in India than in our home country?
What would your Pediatric ASD/VSD Repair cost?
Send your reports and a senior specialist sends back a written plan with costs within 24 hours. Free, with no obligation.



