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Condition

Congenital Heart Defects

Heart problems present from birth — many are treatable without open surgery.

Illustration of a heart with an atrial septal defect
Many holes and narrowings can now be fixed without ever opening the chest.

What it is

Congenital heart defects are structural heart problems that someone is born with. Many simple defects — ASD, PDA, some VSDs — can now be closed in the cathlab without open-chest surgery. Adult congenital heart disease is a growing specialty.

Symptoms

Indian infant being held with a stethoscope nearby
Recurrent chest infections or poor weight gain can be early clues in babies.
  • Breathlessness on exertion
  • Recurrent chest infections in childhood
  • Bluish lips and nails
  • Palpitations
  • Fatigue
  • Sometimes found incidentally on echo

Risk factors

  • Family history
  • Maternal illness during pregnancy
  • Certain genetic syndromes

How it's diagnosed

Paediatric echocardiogram in a hospital exam room
A simple echo confirms most congenital defects within minutes.
  • Echocardiogram
  • TEE
  • Cardiac MRI or CT
  • Cardiac catheterisation

Treatment options

ASD/PDA closure device with its delivery catheter
Small umbrella-like devices close many heart holes through a tiny groin puncture.
  • Device closure (ASD, PDA, selected VSDs)
  • Balloon valvuloplasty for narrowed valves
  • Surgery for complex defects
  • Long-term cardiac follow-up

Related procedures

FAQ

Questions patients ask us most

Can adults have undetected heart holes?+

Yes. Many ASDs are diagnosed for the first time in adults during a routine echo or when symptoms develop.

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