[PDF] atrial septal defect treatment guidelines

Many cardiologists recommend surgery to repair a medium to large atrial septal defect that's diagnosed during childhood or adulthood to prevent future complications. For adults and children, atrial septal defect repair surgery involves closing the hole in the heart. This can be done two ways: Catheter-based repair.
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  • What is the best treatment for atrial septal defect?

    There are two approaches to ASD closure: Open heart surgery. Surgery is required for patients with ostium primum and sinus venous ASD and is recommended in early childhood. Smaller defects are closed with sutures, whereas large defects require patches made of synthetic material or pericardium (the lining of the heart).

  • What is the first line treatment for atrial septal defect?

    A large atrial septal defect and some types of ventricular septal defect can be closed with a special device inserted with a catheter. If the defect is too big or not suitable for the device, surgery may be needed to close the hole.

  • How do doctors treat atrial septal defects?

    Most people with ASDs are candidates for catheter-based closure. If you have a very large hole or other heart defects along with an ASD, your cardiologist may recommend an open-chest ASD closure. In these procedures, a cardiac surgeon opens your chest and uses the device, stitches or a patch to repair the hole.
  • In infants, small ASDs (less than 5 mm) will often not cause problems, or will close without treatment. Larger ASDs (8 to 10 mm), often do not close and may need a procedure.
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