Atrial Septal Defect Repair in Children -- Open Heart Surgery
|Patch Repair for Atrial Septal Defect|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Damage to the heart or lungs
- Reaction to the anesthesia, such as lightheadedness and wheezing
- Infection, including endocarditis, an infection of the inner lining of the heart muscle
- Heart attack
- Blood clot formation
- Arrhythmia—abnormal heart rhythm
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 unaided
- 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, such as ECG and blood tests.
- Give pain medication.
- Gradually transition your child to a normal diet.
- 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, especially during the first few days. He will slowly return to normal activities. Have your child avoid rough play.
- 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
- 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.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 -