Yatharth Super Specialty Hospital, Sec-20 Faridabad, Performs Successful Minimally Invasive ASD Closure on a 5-Year-Old Child
Faridabad, November 2025: Multi-disciplinary team of doctors at Yatharth Super Specialty Hospital, Sector-20 Faridabad, has successfully treated a five-year-old girl diagnosed with a large Ostium Secundum Atrial Septal Defect (ASD), commonly known as a hole in the heart, using a Minimally Invasive Cardiac Surgery (MICS) approach. The highly specialised procedure was led by senior experts from the hospital’s Pediatric & Adult Cardiac Sciences team, including Dr. Viresh Mahajan, Dr. Ved Prakash, Dr. Parag Sharma, and Dr. Junaid Maqbool Bhat.
The young patient, weighing just 13.3 kg at presentation, was admitted with a confirmed diagnosis of large ASD (18mm x 22mm) with left-to-right shunting, resulting in dilated right atrium and right ventricle. Pre-operative echocardiography further revealed trace tricuspid regurgitation, normal ventricular function, and normal systemic and pulmonary venous drainage—findings that necessitated timely surgical correction.
Dr. Ved Prakash, Director & HOD – CTVS, Yatharth Super Specialty Hospital, Sector-20 Faridabad said “Given the size of the defect and the child’s symptomatic profile, this case was classified as high-risk, requiring early surgical intervention to prevent long-term complications such as pulmonary hypertension, arrhythmias, and impaired cardiac function. After detailed clinical evaluation and high-risk consent from the family, the surgical team performed ASD closure using the MICS approach under general anesthesia. The procedure offered the significant advantage of minimal incision, that the incision was made on the left side of the chest instead of in the front, as in case of conventional procedures. Other advantages included reduced postoperative discomfort, quicker recovery, and superior cosmetic outcomes—particularly beneficial for pediatric patients.”
Intra-operatively, the child received blood product support, and postoperative care was provided in the dedicated Pediatric CTVS ICU. She was successfully extubated within a short period, transitioned to oxygen via nasal prongs, and subsequently weaned off to room air. Postoperative imaging confirmed complete closure of the defect with no residual ASD, no pericardial effusion, trivial TR, and normal biventricular function, marking an excellent surgical outcome.
The child developed bilateral basal atelectasis and concurrent bronchorrhea, which were effectively managed through chest physiotherapy, nebulization, and postural drainage. She also required temporary inotropic support to optimise cardiac output, along with carefully monitored diuretic therapy involving furosemide and spironolactone.
Following steady recovery, stable vital parameters, and good feeding tolerance, the child was discharged with normal oxygen saturation (97–100%), afebrile status, and clear chest examination.
Speaking about the complexity involved, Dr. Viresh Mahajan, Chairman – Pediatric Cardiac Sciences, Yatharth Group of Hospitals, said “Large ASDs in small children are always challenging, particularly when they present with significant chamber dilatation and increased shunt flow. In this child, the defect size and symptomatic burden made early surgical closure essential. The minimally invasive approach allows us to repair the heart with far less trauma, reduced infection risk, and faster rehabilitation. We are pleased that the child responded exceptionally well and has made a complete recovery.”
Mr. Amit Singh, Group CEO, Yatharth Group of Hospitals, said “Successful outcomes like this reinforce our commitment to delivering advanced, compassionate, and patient-centric healthcare. Treating a young child with a complex heart defect through minimally invasive techniques reflects the clinical excellence and teamwork our doctors embody every day. At Yatharth, we continuously invest in cutting-edge technology and specialized expertise to ensure that even the most delicate cases receive world-class care. We are proud of our team for restoring this child’s health and giving her family renewed hope.”
The child has been advised regular follow-up with the Pediatric Cardiology team, along with routine monitoring of electrolytes and continued evaluation by her pediatrician. She is expected to lead a normal and healthy life with no long-term limitations.
