Asd (Atrial Septal Defect) Device Closure
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An atrial septal defect or ASD is basically a hole in the wall between the two upper chambers of your heart. This condition is present at birth.
Large and prolonged atrial septal defects can damage your heart and lungs. Someone who has an undetected atrial septal defect for decades may have a shorter lifespan from heart failure or high BP that affects the arteries in the lungs. In such cases, ASD surgery may be required to repair atrial septal defects and prevent complications.Learn More
You’ll need an ASD closure surgery if you experience the following symptoms-
As the surgery begins, a cardiologist starts a transesophageal echocardiogram (TEE) so the surgeon can look at the heart structure during surgery.
The surgeon then makes an incision in the breastbone to reach your heart, and you’ll be placed on a cardiopulmonary bypass machine – which pumps blood to the body, bypassing the heart and lungs except for the coronary arteries – while your heart is stopped temporarily. An incision is then made in your heart’s right atrium to access the defect.
The patch – either your own pericardial tissue or a synthetic graft – is then stitched onto the hole in the septum to close it.
The heart is closed with sutures, and the cardiopulmonary bypass machine is removed. Pacing wires are placed temporarily on the heart to prevent heart rhythm abnormalities after the operation. Chest tubes are placed to collect residual blood or fluid in the chest after the surgery, and the skin is closed with stitches or staples.
It's not exactly known why atrial septal defects occur, but congenital heart defects run in families and sometimes occur with other genetic problems. Some ASD conditions that you have or that may occur during pregnancy may increase your risk of having a baby with a heart defect, including:
A small atrial septal defect will ideally never cause any problems. Small atrial septal defects often close during infancy. However, larger defects can cause some serious problems, including:
Less common serious complications post ASD surgery may include:
Transesophageal echocardiogram:A transesophageal echocardiogram (TEE) is a special type of echocardiogram. It is usually done when your doctor wants to look more closely at your heart to see if it could be producing blood clots.
Eisenmenger syndrome: Eisenmenger's syndrome (or ES, Eisenmenger's reaction, Eisenmenger physiology, or tardive cyanosis) is defined as a process in which a long-standing left-to-right cardiac shunt caused by a congenital heart defect (typically by a ventricular septal defect, atrial septal defect, or less commonly, patent ductus arteriosus) causes pulmonary hypertension.Learn Less
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