AV Canal Defect Surgery Package
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Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare
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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| AV Canal Defect Surgery Package | $4500 | Single | Patient - 5 days stay in a single room. |
✓ Inclusion
- ✔Consultation with paediatric cardiologist and paediatric cardiac surgeon
- ✔Pre-operative blood tests, ECG, chest X-ray and 2D echo
- ✔Paediatric cardiac anaesthesia assessment
- ✔AV canal defect (AVSD) repair under heart-lung bypass
- ✔Surgeon, anaesthetist and perfusionist fees
- ✔Operation theatre charges and consumables (patches, sutures)
- ✔Paediatric cardiac ICU and ward care – total 5 days in a single room
- ✔Nursing care, routine medicines and IV fluids
- ✔Routine blood units for surgery
- ✔Stay for one parent with the child
- ✔Discharge echo and follow-up plan
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖Cardiac catheterisation or CT angiography
- ✖Repair of additional heart defects
- ✖Extra ICU or hospital days beyond 5 days
- ✖Pacemaker if needed
- ✖Special medicines (e.g. nitric oxide, sildenafil) beyond routine
- ✖Medicines after discharge
- ✖Hotel stay, food for attendants and local travel
- ✖Flights and visa fees
Know More About Procedure & Surgery
🇮🇳 PAEDIATRIC CARDIAC PACKAGE — INDIA
Atrioventricular Canal Defect (AVSD) Surgery in India
Open-heart repair of complete or partial AV canal defect (AVSD) in babies and children – including those with Down syndrome – by experienced paediatric cardiac surgeons at NABH & JCI hospitals in India, at a fraction of Western cost.
✅ Free Medical Opinion in 48–72 h👶 Paediatric cardiac ICU teams💰 Starting USD 4,500✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
4–6 hrs
Surgery time
🏥
5 days
Hospital stay
📈
95%+
Survival (experienced)
📅
3–4 weeks
Total stay in India
📖 What is an Atrioventricular Canal Defect?
An atrioventricular canal defect (also called AV septal defect, AVSD or endocardial cushion defect) is a heart problem present from birth. There is a hole in the centre of the heart between the chambers, and the two valves between the upper and lower chambers (mitral and tricuspid) are formed as one common, often leaky valve. Extra blood flows to the lungs, which makes the heart work hard and raises lung pressure. It is common in babies with Down syndrome.
Surgery closes the hole(s) with one or two patches (often from the child's own pericardium or a synthetic material) and divides the common valve into two working valves. It is done through a cut in the breastbone with the heart-lung machine. Complete AVSD is usually repaired at 3–6 months of age, before lung damage occurs. Partial AVSD is often repaired between 1 and 5 years.
🖼️ Understand It in Pictures
💡 In simple words
In an atrioventricular septal defect (AV canal), a baby is born with a large hole in the centre of the heart and one shared valve instead of two. Too much blood floods the lungs. In open-heart surgery the holes are closed with patches and the valve is divided into two.
Normal heart vs AV canal defect, and after repair
👀 Symptoms in Pictures
🩻 Scans & Tests — What Doctors See
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
Drawings: Satyug Healthcare (simplified, not to scale). Photos: Wikimedia Commons; author and licence under each photo.
🩺 Conditions Treated
🫀
Complete AVSD
Large hole in both upper and lower parts with a single common valve.
❤️
Partial AVSD (primum ASD)
Hole between the upper chambers with a cleft mitral valve.
⚖️
Transitional / intermediate AVSD
Two valve openings with a small lower hole.
💧
Left AV valve leak
Leaky valve after earlier repair, needing redo repair.
🧬
AVSD with Down syndrome
Common association; repair planned early to protect the lungs.
➕
AVSD with Tetralogy of Fallot
Combined defects repaired by complex surgery (extra cost).
⚠️ Signs That May Need Surgery
- ➤Fast breathing or breathlessness
- ➤Poor feeding and sweating during feeds
- ➤Poor weight gain
- ➤Frequent chest infections
- ➤Tiredness or easy fatigue
- ➤Bluish lips on crying (later stage)
- ➤Heart murmur heard by doctor
- ➤Enlarged heart on X-ray
💡 AVSD does not close on its own and almost always needs surgery. Medicines (diuretics) only control symptoms until repair. If the lung pressure has become very high and fixed (Eisenmenger), surgery may no longer be safe – so early evaluation is important.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| 2D echocardiogram | Confirms the type of AVSD, valve leakage and heart function |
| ECG | Typical rhythm pattern and baseline |
| Chest X-ray | Heart size and lung congestion |
| Cardiac catheterisation (selected) | Measures lung pressure in older children |
| Blood tests | Fitness, blood group, infection screen |
| Genetic / thyroid tests (Down syndrome) | Associated conditions before surgery |
🏥 The Procedure — Step by Step
1
Admission and evaluation
Paediatric cardiologist and surgeon review the echo and plan surgery.
2
General anaesthesia
The child is fully asleep under a paediatric cardiac anaesthetist.
3
Chest opening
A cut is made over the breastbone (median sternotomy).
4
Heart-lung bypass
The machine takes over pumping; the heart is stopped safely.
5
Patch closure
The holes are closed with one or two patches (two-patch or modified single-patch technique).
6
Valve reconstruction
The common valve is divided and repaired into mitral and tricuspid valves; the cleft is stitched.
7
Heart restarted and checked
Echo in theatre (TEE) checks valve leaks and patches.
8
Paediatric ICU
Ventilator, monitoring and medicines for heart and lung pressure.
9
Ward care and discharge
Feeding re-established, drains removed, discharged at about day 5 when stable.
⚖️ Repair Techniques
| Technique | What is done | Best for |
|---|---|---|
| Two-patch repair | Separate patches for upper and lower holes | Complete AVSD with a large lower hole |
| Modified single-patch (Australian) | Lower hole closed by sewing valve to crest, one patch above | Complete AVSD with smaller lower hole |
| Primum ASD repair + cleft closure | Patch for upper hole and stitching of mitral cleft | Partial AVSD |
| Pulmonary artery banding | Temporary band to limit lung blood flow | Very small or sick babies before full repair |
📊 Large surgical series and registry data (STS Congenital Heart Surgery Database) report hospital mortality of about 2–4% for complete AVSD repair, and about 10–15% of children need a later operation, mostly for left AV (mitral) valve leakage.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India, airport pick-up, hotel check-in |
| Day 2–3 | Paediatric cardiology consultation, echo, blood tests and fitness |
| Day 4 | Admission and preparation |
| Day 5 | AVSD repair surgery |
| Day 5–9 | Paediatric cardiac ICU then ward – total 5 days in hospital (single room) |
| Day 10–21 | Hotel stay, wound and feeding checks, repeat echo |
| Day 22–25 | Final cardiology review, fit-to-fly |
| Day 26 | Fly home ✈️ |
🌱 Recovery After Treatment
🛏️
Week 1
ICU and ward care; feeding restarted; parents stay with the child.
🍼
Week 2
Feeding improves; weight checks; wound kept clean and dry.
🏠
Weeks 3–4
Normal handling of baby, avoid lifting under the arms; echo check.
📈
Months 1–3
Better feeding and growth; fewer chest infections; medicines reduced.
🧸
Months 3–6
Most children are active and gaining weight normally.
📆
Lifelong
Regular cardiology check-ups and echo to monitor valve function.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Hospital survival after complete AVSD repair | About 96–98% in experienced centres |
| Hospital survival after partial AVSD repair | Over 98% |
| Re-operation for valve leak over 10–20 years | About 10–15% |
| Need for permanent pacemaker | About 1–3% |
| Long-term survival (20 years) | About 85–90% |
Results depend on the child's age and weight, lung pressure at the time of surgery, the quality of the common valve, and other heart or health problems.
🩹 Risks & Possible Complications
AVSD repair is complex surgery, but results in experienced paediatric centres are very good.
- •Residual leakage of the mitral (left AV) valve – about 10–20% moderate or more
- •Temporary high lung pressure crisis in ICU – uncommon
- •Heart block needing pacemaker – about 1–3%
- •Infection or chest problems – about 3–5%
- •Bleeding needing re-exploration – about 2%
- •Need for re-operation in later years – about 10–15%
- •Risk of death – about 2–4% for complete AVSD
💰 Cost of AV Canal Defect Repair in India
The cost of AV canal defect surgery in India starts from about USD 4,500, including surgery, paediatric ICU care and a total 5-day stay in a single room. Cost varies with the type of AVSD, the child's condition, longer ICU stay or additional defects.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| AVSD repair (this package) | 4,500 | 5 days, single room | Partial or uncomplicated complete AVSD |
| Complete AVSD in a small infant | 5,500 – 7,500 | 7–12 days | Longer ventilation and ICU care |
| AVSD with other defects (e.g. TOF) | 7,000 – 10,000 | 10–14 days | Complex combined repair |
| Pulmonary artery banding (staged) | 3,500 – 4,500 | 5–7 days | For very small or sick babies |
⚠️ Final cost depends on the child's age and weight, type of defect, lung pressure, ICU days needed and the hospital chosen. Quotes are confirmed after the specialist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔Paediatric cardiac surgeon & anaesthetist fees
- ✔Operation theatre and heart-lung machine
- ✔Paediatric ICU and ward – 5 days total
- ✔Single room with one parent
- ✔Routine medicines and consumables
- ✔Pre-op tests and echo
- ✔Nursing care
❌ Not Included
- ✖Cardiac catheterisation
- ✖Extra ICU/hospital days
- ✖Treatment of other defects
- ✖Pacemaker if needed
- ✖Medicines after discharge
- ✖Hotel, flights and visa fees
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | Recent echocardiogram report (and video if possible), ECG, chest X-ray, child's weight and age, and any genetic or other medical reports. |
| 2. Free opinion & quotes | Within 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare. |
| 3. Choose hospital & doctor | We help you compare doctors, success rates, room options and total budget. |
| 4. Medical visa | The hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa. |
| 5. Travel planning | Flight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital. |
| 6. Treatment in India | Your coordinator and interpreter stay with you for admission, treatment, discharge and billing. |
| 7. Return & follow-up | Fit-to-fly letter, medicines, and online follow-up with your doctor after you return home. |
🎒 Travel Checklist
- 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
- 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
- 📌All echo, ECG, chest X-ray reports, scans on CD / link, weight chart and prescriptions
- 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
- 📌Polio vaccination certificate where applicable
- 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
- 📌Foreigners staying longer than permitted must register with the FRRO — our team assists
⭐ Why Choose Satyug Healthcare?
🏥
Top Accredited Hospitals
Leading paediatric cardiac centres such as Medanta Gurugram, Fortis Escorts Heart Institute, Narayana Health Bengaluru, Amrita Hospital Kochi/Faridabad, Apollo Hospitals and Max Saket.
👨⚕️
Senior Specialists
Surgery is done by dedicated paediatric cardiac surgeons and intensivists who treat many children with congenital heart disease every year.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.
❓ Frequently Asked Questions
➤ What is the cost of AV canal defect surgery in India?
It starts from about USD 4,500 including a 5-day hospital stay in a single room. Small infants needing longer ICU care or children with other defects cost more. A written estimate is given after reviewing the echo.
➤ At what age should AVSD be repaired?
Complete AVSD is usually repaired at 3–6 months of age, before lung pressure becomes permanently high. Partial AVSD is often repaired between 1 and 5 years.
➤ How long will my child stay in hospital?
About 5 days for a straightforward repair, including ICU and ward care. Small or sick babies may need longer.
➤ How long should we stay in India?
Plan for about 3–4 weeks so the team can check the wound, feeding and echo before flying.
➤ What is the success rate?
In experienced centres, about 96–98% of children survive surgery and most grow normally afterwards.
➤ Can a child with Down syndrome have this surgery?
Yes. Many children with AVSD have Down syndrome and do very well after repair. Early surgery is especially important to protect their lungs.
➤ Will my child need more surgery later?
About 10–15% need another operation in later years, usually to repair a leaky mitral valve. Regular check-ups help find this early.
➤ Is the surgery painful for my child?
Children are fully asleep during surgery and get strong pain relief afterwards. Most are comfortable within a few days.
➤ When can my child live a normal life?
Most children feed better, grow well and are fully active within 2–3 months after a good repair.
➤ What are the risks?
Risks include leakage of the valve, heart rhythm problems, infection and bleeding. The overall risk of death is about 2–4% for complete AVSD in experienced centres.
➤ Can both parents travel with the child?
Yes. Parents can travel on a medical attendant visa. We send the visa invitation letter.
➤ Is flying safe after surgery?
Yes, usually after 2–3 weeks once the cardiologist confirms the child is stable.
➤ What follow-up is needed at home?
Check-ups with a paediatric cardiologist and echo at 1, 3 and 6 months, then yearly. We arrange video consultations with the treating team.
➤ Will an interpreter be available?
Yes. Satyug Healthcare provides interpreters for Arabic, French and Portuguese (plus English), and a coordinator for the family.
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766 | +91-9910655125 | ✉️ query@satyughealthcare.com
Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: NCBI StatPearls: Atrioventricular Septal Defect; STS Congenital Heart Surgery Database; American Heart Association: AV Canal Defect; Mayo Clinic: Atrioventricular canal defect; Cleveland Clinic: AV canal defect; Boston Children's Hospital: AVSD. Infographics: Satyug Healthcare.
Frequently Asked Questions
In a balanced AV canal defect, the shared valve opens evenly into both lower chambers, so both ventricles are of normal size and the heart can be repaired with two normal pumping chambers. In an unbalanced defect, one ventricle is underdeveloped, which needs a different surgical plan.
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AV canal defect (AVSD) surgery in India from USD 4,500. Expert paediatric cardiac surgeons, 5-day stay, dedicated paediatric ICU, visa and interpreter help.
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