What is the therapeutic effect of atrial septal defect repair

summary

Atrial septal defect (ASD) is one of the most common congenital heart diseases. The treatment should be based on the size of the defect, the age of the patient and the location of the defect. Atrial septal defect (ASD) is the abnormal development of the original atrial septum during embryonic development, which results in the left and right atrium remaining pores. Due to the presence of shunt at the atrial level, the corresponding hemodynamic abnormalities can be caused. In general, left to right shunt is the main cause of right ventricular enlargement, and in severe cases, pulmonary arterial pressure increases. When the blood pressure is higher than normal, right to left shunt will appear.

What is the therapeutic effect of atrial septal defect repair

First: in infants and young children, generally less than two years old, if atrial septal defect does not cause pulmonary hypertension and enlargement of the right heart cavity, surgery is not needed for the time being, because the baby has the possibility of self-healing at this time. At this time, it is only necessary to regularly review the color Doppler ultrasound, and check every six months to observe the changes of the heart.

Second, if the atrial septal defect is less than 5 mm over the age of 5 years, the defect will not affect hemodynamic changes, and no treatment is needed at this time. If it is larger than 5mm and the right ventricular cavity is enlarged, it should be treated in time. The treatment method should be interventional therapy or surgical treatment according to the location of the defect.

Third: the central type of atrial septal defect can be intervened and put into the occluder to block, so as to achieve the cure of atrial shunt. If it is superior vena cava defect or inferior vena cava defect, thoracotomy is usually needed. The advantages of interventional therapy are less risk and faster postoperative recovery. The risk of operation is high, and the recovery of operation needs a certain time.

matters needing attention

Usually care attention to keep quiet as far as possible, avoid taking part in too intense activities, children should avoid excessive crying, ensure adequate sleep, do not stay up late. Try not to lie prone in sleeping position. Indoor air must be fresh and sunny.