Atrial Septal Defect Repair in Children -- Transcatheter Procedure
Reasons for Procedure
|Blood Flow Through the Heart|
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- Bleeding at the point of the catheter insertion
- Damage to arteries
- Allergic reaction to x-ray dye
- Blood clot formation
- Infection, including endocarditis, an infection of the inner lining of the heart muscle
- Reaction to the anesthesia, such as light-headedness and wheezing
- Blood clot formation
- Arrhythmia —abnormal heart beat
What to Expect
Prior to Procedure
- Blood and urine tests
- Echocardiogram —a test that uses sound waves to visualize functioning of the heart
- Electrocardiogram (ECG, EKG)—a test that records the heart's activity by measuring electrical currents through the heart muscle
- Chest x-ray —a test that uses radiation to take a picture of structures inside the chest
Description of the Procedure
Immediately After Procedure
- Place pressure on the insertion site and apply a pressure bandage
- Have your child lie flat
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Do tests, such as an EKG, chest x-ray, and blood tests.
- Have your child lie still and flat for several hours. This is to prevent bleeding.
- Place a pressure bandage to reduce bleeding.
- Encourage your child to drink plenty of fluids to flush the dye from his body.
- Give pain medication to ease discomfort.
- Washing their hands
- Wearing gloves or masks
- Keeping your child's incisions covered
- Washing your hands and your child's hands often and reminding visitors and healthcare providers to do the same
- Reminding your child's healthcare providers to wear gloves or masks
- Not allowing others to touch your child's incisions
- Encourage your child to rest. Have him avoid strenuous activities. He will slowly return to his normal routine.
- Follow all of the doctor’s instructions.
Call Your Child’s Doctor If Any of the Following Occurs
- Signs of infection, including fever and chills
- Increased sweating
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the catheter insertion site
- Nausea and/or vomiting
- Increased pain
- Loss of appetite or poor feeding
- Not drinking enough fluids
- Not urinating
Call for Medical Help Right Away If Any of the Following Occurs
- Fast breathing or trouble breathing
- Blue or gray skin color
- Not waking up or not interacting
- Chest pain
- Heart palpitations
- Weakness or fainting
- Signs of a stroke, such as drooping facial muscles, changes in vision or speech, and difficulty walking
American Heart Association http://www.heart.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Health Canada http://www.hc-sc.gc.ca
Heart and Stroke Foundation http://www.heartandstroke.com
Atrial septal defect (ASD). Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/atrialseptaldefect.html. Accessed June 29, 2015.
Atrial septal defect. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site477/mainpageS477P0.html. Accessed June 29, 2015.
Open-heart surgery. Cincinnati Children’s Hospital website. Available at: http://www.cincinnatichildrens.org/health/heart-encyclopedia/treat/surg/open.htm. Updated June 2015. Accessed June 29, 2015.
Atrial septal defect. Cove Point Foundation website. Available at: http://www.pted.org/?id=atrialseptal4. Updated May 16, 2011. Accessed June 29, 2015.
Atrial septal defect. Kids Health—Nemours Foundation website. Available at: http://kidshealth.org/parent/medical/heart/asd.html. Accessed May 2013. Accessed June 29, 2015.
- Reviewer: Michael J. Fucci, DO
- Review Date: 06/2015 -
- Update Date: 01/27/2014 -