What is ASD closure?

An atrial septal defect (ASD) closure is a technique to seal a hole in your heart caused by an ASD.

An irregular septum gap, the wall separating the heart's two upper chambers (atria), is known as an atrial septal defect (ASD). Every infant has a tiny opening there at birth. After delivery, the hole fills typically in a few weeks or months. However, a bigger hole that doesn't close properly is occasionally present at birth.

Who performs ASD closure?

A heart surgeon or interventional cardiologist is a specialist in heart procedures and can perform ASD closure.

What alternatives are for treatments?

While there are drugs that can be used to treat ASD symptoms, none of them can close the hole. Consequently, there are two available therapeutic options for closing an ASD: open heart surgery or device closure of ASD using a keyhole operation that uses a catheter.

Who needs ASD closure?

The hole might not create any issues or require treatment if it is tiny. However, a big ASD may cause blood to flow into the incorrect cardiac chambers. Your heart and lungs may have to work harder as a result, leading to various symptoms and consequences such as:

• Abnormal cardiac rhythm, such as atrial fibrillation or flutter.
• Enlarged heart.
• Cardiac arrest.
• Pulmonary hypertension is the term for high lung pressure.
• Breathing difficulty.
• A stroke.

If those issues are a possibility for you, your doctor might recommend ASD closure. If you're currently undergoing surgery for another congenital cardiac abnormality, they might also advise the procedure.

ASD closure is frequently performed by surgeons on young children to prevent further cardiac problems and damage.

How is the procedure performed?

General anesthesia or local anesthesia, along with sedation, can close the ASD device.

Which option is best for you will be determined by your cardiologist or nursing specialist. To insert a tube, a tiny incision is made in the groin area of the leg. You are entering the blood vessel. This facilitates guiding a unique wire and catheter up into both the ASD and the heart. Once the sealing device is guided by the team, put some safety checks up in the heart to ensure the gadget is at a steady angle. When the ASD closure device is released, blood flow across the hole is stopped permanently and it stays in the heart.

After the operation, which takes one to two hours to complete, you will need to spend the night in the hospital. You'll get an x-ray of your chest and your heart's ultrasound scan to determine the device's location before returning home.

What takes place during surgical ASD closure?

You are put under general anesthesia for the ASD closure procedure. To ensure you don't experience pain throughout the procedure, you are given drugs that put you to sleep.

A doctor or nurse will connect you to multiple devices that track your breathing and heart rate. They will also attach you to a heart-lung machine to replace your heart's function throughout the treatment.

Your chest is cut by the incision made by your heart surgeon. Your surgeon could make the incision:

• Over your breastbone and down the center of your chest.
• On your chest, right side.
• At an alternate site decided upon by your surgeon.

After that, your surgeon will spread your ribs using a specialized tool. Your surgeon will locate the ASD utilizing an endoscope, a narrow tube with a light, and a camera at the end. Next, they will seal it with sutures, a patch, or a plug.

What happens during transcatheter ASD closure?

You might be eligible for transcatheter ASD closure if your ASD is smaller and you don't have any other cardiac issues that require treatment. Recovery is typically more straightforward and quicker with this less invasive technique.

You might be given general anesthetic or sedative drugs for transcatheter ASD closure. Unlike general anesthesia, sedation causes you to feel calm and tired but does not completely remove consciousness.

To carry out an ASD closure using a transcatheter, your interventional cardiologist will:

• Makes a little incision in your groin to access the femoral vein and, occasionally, the femoral artery.
• Insert a catheter, a tiny tube with a closure device attached to the end.
• Imaging technologies, such as echocardiograms and X-rays, are used to guide the catheter and device into your vein and heart.
• Insert the closing device into the opening.
• Takes out the catheter.

What takes place after ASD closure?

Your medical staffs keep an eye on you while you recover from anesthesia after ASD closure. They also take pictures of your heart to ensure the surgery went well. Depending on your surgery, you usually spend one or more nights in the hospital.

How long does it take to recover after ASD closure?

Your doctor will discuss expectations for your recovery with you. ASD closure surgery might require you to restrict your physical activity for a few weeks. You should return to your regular activities a week after transcatheter closure.

Most likely, for six months after the treatment, you will need to take blood clot prevention drugs. For at least the first six months following the treatment, you must take antibiotics to avoid infections, particularly if you are planning dental surgeries.

You must show up for all of your follow-up consultations with your surgeon or cardiologist. To make sure the surgery was successful, the physician will run tests. Among the tests that might be performed are:

• ECG readings.
• Ambulatory monitors.
• Test your stress levels.

When is the best time to call my doctor?

Serious consequences such as infection, cardiac issues, and stroke can occur after ASD closure. When you see any of the following symptoms, you should consult a doctor immediately:

• Blood, liquid, or pus oozing from the wound.
• Pain in the chest.
• Disorientation or passing out.
• A fever.
• Ache that doesn't go away or gets worse when using medicine.
• A fluttering sensation in your chest, which is an irregular heartbeat.

Why Tender Palm Super-Speciality Hospital for ASD device closure?

Tender Palm Super-Speciality Hospital is a trusted choice for ASD device closure in Lucknow, India. Due to its expert heart specialists, advanced technology, and dedicated care team. Our hospital ensures safe and successful procedures with a patient-first approach. Many families choose it for its excellent outcomes and compassionate care.

To seek an expert consultation for ASD Device Closure in Lucknow, India.

Call us at +91-9076972161
Email at care@tenderpalm.com

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