Atrial Septal Defect Repair in Children -- Open Heart Surgery
|Patch Repair for Atrial Septal Defect|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Pre-existing conditions (eg, poor kidney functioning)
- Low birth weight
- Recent infection
What to Expect
Prior to Procedure
- Blood and urine tests
- Echocardiogram —a test that uses sound waves to visualize heart functioning
- 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
- Cardiac catheterization —the insertion of a tube-like instrument into the heart through an artery
Description of the Procedure
Immediately After Procedure
- Heart monitor
- Breathing tube (until your child can breathe on his own)
- Chest tubes—to drain fluids that have collected in the chest
- A line into an artery in the arm or leg—to measure blood pressure
- A tube through the nose and into the stomach—to drain fluids and gas that collect in the stomach
- Bladder catheter
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Do tests (eg, ECG, blood tests).
- Give pain medicine.
- Gradually transition your child to a normal diet.
- If directed by the doctor, give antibiotics. This will help to prevent endocarditis. Also, give pain medicine as needed.
- Keep the incision area clean and dry. Avoid applying lotion or powder to this area.
- Have your child return to his normal diet.
- Ask the doctor about when it is safe to shower, bathe, or soak in water. Usually, you will want to avoid giving your child a bath or allowing him to shower for 10 days after surgery.
- Encourage your child to rest, especially during the first few days. He will slowly return to normal activities. Have your child avoid rough play.
- Dress your child in loose, comfortable clothing.
- If your infant had surgery, hold him by supporting his back and buttocks. Do not pull your baby up by the arms or under the arms.
- Follow all of the doctor’s instructions.
Call Your 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 incision site
- Incision opens
- Nausea and/or vomiting
- Increased pain
- Problems with urinating (eg, pain, burning, urgency or frequency of urination, blood in the urine) or not urinating
- Cough, shortness of breath, or chest pain
- Rattling in the chest
- Not wanting to eat or drink
- Noisy breathing
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
American Heart Association http://www.americanheart.org/
National Library of Medicine http://www.nlm.nih.gov/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html/
Heart and Stroke Foundation http://ww2.heartandstroke.ca/splash/
Baylor College of Medicine. Atrial septal defect. Baylor College of Medicine website. Available at: http://www.debakeydepartmentofsurgery.org/home/content.cfm?proc%5Fname=atrial+septum+defect+repaircontent%5Fid=274 . Updated April 2010. Accessed April 21, 2010.
Cardiothoracic Surgery. Atrial septal defect (ASD). Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/atrialseptaldefect.html . Accessed April 21, 2010.
Children’s Hospital Boston. Atrial septal defect. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site477/mainpageS477P0.html . Accessed April 21, 2010.
Cincinnati Children’s Hospital. Open-heart surgery. Cincinnati Children’s Hospital website. Available at: http://www.cincinnatichildrens.org/health/heart-encyclopedia/treat/surg/open.htm . Updated July 2009. Accessed April 21, 2010.
Cornell University. Taking care of your child after heart surgery. Cornell University website. Available at: http://www-users.med.cornell.edu/~spon/picu/parents/peddcwd.htm . Updated November 2001. Accessed April 21, 2010.
Cove Point Foundation. Atrial septal defect. Cove Point Foundation website. Available at: http://www.pted.org/?id=atrialseptal4 . Updated April 2009. Accessed April 21, 2010.
Durham L, Mendelsohn A. Atrial septal defects: surgical and transcatheter management. Congenital Heart Information Network website. Available at: http://tchin.org/resource%5Froom/c%5Fart%5F14.htm . Updated May 2003. Accessed April 21, 2010.
Health Library editorial staff and contributors. Heart valve replacement. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated November 2009. Accessed April 21, 2010.
Kids Health. Atrial septal defect. Kids Health website. Available at: http://kidshealth.org/parent/medical/heart/asd.html# . Accessed April 21, 2010.
Rosenblum L. Septal defects. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated September 2009. Accessed April 21, 2010.
University of Maryland Medical Center. Atrial septal defect—treatment. University of Maryland Medical Center website. Available at: http://www.umm.edu/ency/article/000157trt.htm . Updated May 2008 Accessed April 21, 2010.
- Reviewer: Michael J. Fucci, DO
- Review Date: 06/2013 -
- Update Date: 06/20/2013 -