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Light desk work often resumes after about 4-6 weeks.","restrictions":["Sternal precautions","No heavy lifting","No driving for a few weeks"]},{"phase":"Weeks 6-12","description":"Return to full activity with cardiology clearance.","restrictions":["Avoid contact or strenuous sport until cleared"]},{"phase":"At any time","description":"Seek urgent assessment for fever, wound discharge or sternal instability, breathlessness, fainting, palpitations, chest pain or poor feeding in infants.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Functional recovery after uncomplicated surgery; outpatient cardiac rehabilitation often added for adults."},"result_longevity":"Surgical closure is generally durable long term. Periodic cardiology surveillance is advised for arrhythmia, endocarditis and heart failure risk.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Reoperation for residual defect or valve problem after primary surgical closure; varies by defect type and center."},"scars":"Midline sternotomy scar of about 15-20 cm that fades over months; may widen or become hypertrophic.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation under cardiopulmonary bypass."},"stages":[{"code":"surgical_closure","label":"Patch closure on cardiopulmonary bypass","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation."}}],"qualifier":"Primary single-stage repair; pulmonary artery banding is a separate palliative approach."},"success":{"metric":"Freedom from significant residual shunt or reoperation","value":95,"unit":"percent","horizon":"Early to mid-term (hospital discharge to several years)","population":"Adults with isolated VSD after primary surgical patch closure","evidence_status":"limited"},"techniques":[{"name":"Surgical patch closure on cardiopulmonary bypass (transatrial approach for most perimembranous and inlet defects)","suits_whom":"Most adults with isolated VSD; defects unsuitable for devices.","recovery":"Sternotomy and bypass; longer recovery than transcatheter closure."},{"name":"Perventricular (hybrid) device closure","suits_whom":"Selected perimembranous or muscular defects in experienced centers.","recovery":"Avoids bypass and sternotomy; usually shorter recovery than surgical closure."},{"name":"Transcatheter device closure","suits_whom":"Selected muscular or some perimembranous defects, residual defects, or prohibitive surgical risk.","recovery":"No sternotomy or bypass; usually shorter recovery and hospital stay."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Operating time for primary patch closure under cardiopulmonary bypass, excluding intensive care."},"initial_assessment_documents":["Transthoracic echocardiogram report with VSD size and location","Echocardiogram video clips","Cardiology or cardiac surgery discharge summary","Chest X-ray report","12-lead ECG report","Cardiac catheterization report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; hospital 5-10 nights, fly home about 2-4 weeks after surgery. Later cardiology reviews usually local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon meets you before surgery and explains the operation, risks, and potential complications","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/ventricular-septal-defect-large-in-children/","host":"leedsth.nhs.uk","quote":"You will meet the surgeon prior to the operation , who will explain the operation in more detail including risks and potential complications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that pre-assessment evaluates suitability and fitness for surgery and anesthesia","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/heart-surgery-and-how-prepare","host":"guysandstthomas.nhs.uk","quote":"It's very important that you come to this appointment, as this is when we assess your suitability and fitness for surgery and anaesthetic.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check that preoperative tests assess heart, lungs, and kidneys","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/heart-surgery-and-how-prepare","host":"guysandstthomas.nhs.uk","quote":"We do a number of tests to make sure that your heart, lungs and kidneys are working properly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check the medical team’s qualifications","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that the clinic or hospital has satisfactory facilities and standards","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check that you can ask the treatment team questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C7","text":"Check how aftercare will be coordinated after treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon will not meet you before surgery to explain risks and complications","scope":"procedure","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/ventricular-septal-defect-large-in-children","host":"leedsth.nhs.uk","quote":"You will meet the surgeon prior to the operation , who will explain the operation in more detail including risks and potential complications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The treatment team will not answer your questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://kidshealth.org/en/parents/vsd.html","host":"kidshealth.org","quote":"If your child has trouble breathing, call your doctor or go to the emergency room right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Wound or chest drain site oozing fluid","urgency":"contact_clinic","general":false,"source":{"url":"https://www.gosh.nhs.uk/conditions-and-treatments/procedures-and-treatments/leaving-hospital-after-heart-operation/","host":"gosh.nhs.uk","quote":"The site is oozing any fluid","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"High temperature after surgery","urgency":"contact_clinic","general":true,"source":{"url":"https://www.gosh.nhs.uk/conditions-and-treatments/procedures-and-treatments/leaving-hospital-after-heart-operation/","host":"gosh.nhs.uk","quote":"They have a high temperature","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have VSD symptoms and surgery is not yet needed","name":"Heart failure medicines","source":{"url":"https://my.clevelandclinic.org/health/diseases/17615-ventricular-septal-defects-vsd","host":"my.clevelandclinic.org","quote":"Common medications for a ventricular septal defect are often the same as those that treat heart failure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your defect is small and may close by itself","name":"Watchful waiting","source":{"url":"https://my.clevelandclinic.org/health/diseases/17615-ventricular-septal-defects-vsd","host":"my.clevelandclinic.org","quote":"In those cases, a healthcare provider will watch for symptoms and see if the defect closes by itself.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"surgical-patch-closure-on","name":"Surgical patch closure on cardiopulmonary bypass (transatrial approach for most perimembranous and inlet defects)","how_it_works":{"text":"A patch or stitches close the hole between the lower heart chambers","source":{"url":"https://www.mayoclinic.org/diseases-conditions/ventricular-septal-defect/diagnosis-treatment/drc-20353501","host":"mayoclinic.org","quote":"A surgeon uses a patch or stitches to close the hole between the lower heart chambers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"perventricular-device-closure","name":"Perventricular (hybrid) device closure","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"transcatheter-device-closure","name":"Transcatheter device closure","how_it_works":{"text":"A catheter closes selected ventricular septal defects with a 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defects.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=rumuniya/city=buharest/procedure=ventricular-septal-defect-surgery/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53946},"manualSeo":[],"updatedAt":"2026-11-12T07:14:40.000Z","activeCountries":["RO","TR","AT","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}