treatment

ASD (Atrial septal defect) closure

An atrial septal defect is a congenital abnormality of the tissue separating the atria (top chambers of the heart). There are various forms and not all ASD’s require treatment. In appropriate cases Prof. Shand may recommend percutaneous (minimally invasive) closure. In rare cases, patients with more complex ASD’s may require open heart surgery for repair.

Point 2

How did I not know about this problem until now?

In more complex cases, an ASD (and associated abnormalities) may be diagnosed in infancy. However, many patients with an ASD are picked up incidentally as they may cause no or minimal symptoms until later in life.

Point 1

Does my ASD need treatment?

Not all ASD’s require treatment. Generally speaking the treatment of choice is minimally invasive device closure or occasionally open heart surgery. Decision making is centred around the impact the ASD is likely to have on long term heart function, anatomy of the ASD and associated abnormalities as well as whether there is a history of stroke or paradoxical embolism (blot clot moving through the ASD into the body’s arterial circulation).

Frequently asked questions

Minimally invasive device closure is usually performed under general anaesthetic or sedation. A plastic tube is inserted into the femoral vein (large vein in the groin) and after carefully crossing into the lefthand side of the heart, an ASD closure device is positioned using Echo and X-ray guidance. Typically it takes 15-30 minutes to perform.

There is a 1% risk of a major complication. Complications include but are not limited to major bleeding, stroke and complications related to anesthesia and transoesophageal echo (a specialised Echo test). Very rarely (1:500-1:1000 cases) the ASD closure device can embolise (move) from its intended position and require retrieval. This may rarely require surgery to remove the device.

Most patients will stay overnight in hospital following the procedure. Heart rhythm monitoring and an Echo will be performed. We advise you not to drive or play sport for 48 hours. Most patients require 6 months of aspirin and clopidogrel treatment.

Prof. Shand will be review you several weeks after the procedure and answer any questions you may have. In most cases there is a requirement for intermittent review thereafter.

Related Services

Registered Provider

VHI healthcare registered Cardiologist Dublin
Irish life registered cardiologist
Laya Healthcare registered provider

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