Ventricular septal defect: Closure in the heart catheterization labVVentricular septal defect: Closure in the heart catheterization labVentricular septal defect: Closure in the heart catheterization labEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZLee Benson, MD, FRCP(C), FACC, FSCAI;Susan Johnston, RN, BScN;Jennifer Kilburn, RN, MN;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000068.0000000000000991.000000000000Health (A-Z) - ProcedureHealth A-Z<p>A ventricular septal defect is a hole in the membrane that separates the two vetricles of the heart. Read how heart catheterization fixes this defect.</p><h2>What is a ventricular septal defect?</h2><p>A ventricular septal defect (VSD) is an opening or hole in the wall that separates the two lower chambers of the heart. This wall is called the ventricular septum. The hole causes oxygen-rich blood to leak from the left side of the heart to the right side. This causes extra work for the right side of the heart, since more blood than necessary is flowing through the right ventricle to the lungs.</p><p>The hole is usually closed with surgery. However, in certain situations, your child's cardiologist and surgeon may think it is best to close the hole with a special device. This procedure is done in the heart catheterization lab.</p><h2>What is heart catheterization?</h2><p>During heart catheterization, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><p>To learn about heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p> <figure><span class="asset-image-title">VSD closure with </span> <span class="asset-image-title"> catheterization</span><img src="https://assets.aboutkidshealth.ca/akhassets/VSD_closure_device_MED_ILL_EN.png" alt="" /><figcaption class="asset-image-caption">A</figcaption><figcaption class="asset-image-caption"> catheter is threaded through a blood vessel in the body up to the heart. A closure device is threaded through the catheter and placed into the VSD. Once the device is in place, the catheter is taken out.</figcaption></figure><h2>Key points</h2> <ul> <li>A ventricular septal defect is a hole between the two lower chambers of the heart. To close the hole, the doctor will place a special device in your child's heart. </li> <li>If the hole is too big to close with the device or in the wrong position, the hole will be closed with surgery. </li> <li>There is a small risk that your child will have complications from the procedure. Your child's doctor will explain the risks to you before the procedure. </li> <li>Your child will need to have an anaesthetic. Your child will need to stay overnight in the hospital after the procedure. </li> </ul> <h2>What does the closure device look like and how does it stay in place?</h2> <p>The closure device is made of metal and mesh material. It looks like a short tube with different-sized discs (circles) on either end. Before it is put in, the discs are folded so the device will fit in the catheter. When it is in the right place, one disc opens up as the device is moved out of the catheter. The tube portion plugs the hole and the other disc opens up on the opposite side of the hole. </p> <h2>What happens during the closure procedure</h2> <p>The procedure is performed while your child is under a general anaesthetic. This means that your child will be asleep during the procedure. </p> <p>Not every VSD can be closed with heart catheterization. Therefore, we first need to measure the VSD to make sure it can be closed with a device in the catheterization lab. </p> <p>When your child is asleep, we will do a test called a transesophageal echocardiogram. Echocardiogram means a heart ultrasound. Transesophageal means we do the ultrasound with a small probe that is placed in your child's esophagus, the tube that connects the mouth to the stomach. This test will measure the size of the hole and help place the closure device. </p> <ul> <li>If the test shows that the hole is too big to close with the device, we will wake up your child and send them to the recovery room. Your child's cardiologist will discuss the next steps with you and your child. </li> <li>If the hole is small enough and in the right position, we will go on with the catheterization. </li> </ul> <p>During the catheterization, the doctor puts a catheter with a small deflated balloon on the tip through the blood vessel to the hole. The balloon is inflated to measure the size of the hole again. If the hole can be closed with the device, the doctor puts the closure device inside the catheter and places the device into the hole. </p> <p>Once the device is in place, the doctor takes out the catheter and covers the cut on your child's leg with a bandage.</p> <h2>The procedure will take three to four hours</h2> <p>The procedure usually takes three to four hours. After the procedure, your child will go to the recovery room to wake up from the anaesthetic. </p><h2>After the procedure</h2> <p>Most children will spend the night in hospital after the procedure. If your child needs to spend the night, they will be transferred to the inpatient unit from the recovery room. We will do an echocardiogram the next morning to check the placement of the device. </p> <p>The cardiologist will let you know when your child can go home.</p> <p>For information on what to do after your child goes home, please see <a href="/Article?contentid=1214&language=English">Heart catheterization: Caring for your child after the procedure</a>.</p>
Communication interventriculaire : fermeture dans le laboratoire de cathétérisme cardiaqueCCommunication interventriculaire : fermeture dans le laboratoire de cathétérisme cardiaqueVentricular septal defect: Closure in the heart catheterization labFrenchCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZLee Benson, MD, FRCP(C), FACC, FSCAI;Susan Johnston, RN, BScN;Jennifer Kilburn, RN, MN;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000068.0000000000000991.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Vous en apprendrez davantage sur le cathétérisme du cœur qui corrige une communication interventriculaire.</p><h2>Qu'est-ce qu'une communication interventriculaire?</h2><p>Une communication interventriculaire est une ouverture ou un trou dans la paroi qui sépare des deux cavités inférieures du cœur. Cette paroi s'appelle septum ventriculaire. Le trou laisse passer le sang riche en oxygène du côté gauche du cœur au côté droit, ce qui fait travailler le côté droit davantage, étant donné que plus de sang qu'il est nécessaire passe vers le ventricule droit vers les poumons. </p><p>Le trou est habituellement réparé au moyen d'une opération. Cependant, dans certaines situations, le cardiologue et chirurgien de votre enfant pourraient estimer qu'il vaut mieux fermer le trou au moyen d'un instrument spécial. Cette intervention se fait dans le laboratoire de cathétérisme du cœur. </p><h2>Qu'est-ce que le cathétérisme du cœur?</h2><p>Pendant l'intervention, le médecin place délicatement un long tube mince appelé cathéter dans une veine ou une artère du cou ou de l'aine de votre enfant. L'aine est la région en haut de la jambe. Par la suite, le cathéter est acheminé par la veine ou l'artère jusqu'au cœur de votre enfant. </p><p>Le médecin qui fait l'intervention est un cardiologue, c'est-à-dire un médecin qui se spécialise dans le cœur et les vaisseaux sanguins. Il pourrait ne pas être le cardiologue habituel de votre enfant. </p><p class="ms-rteCustom-InternalLinksParagraph"> <span>Pour des renseignements généraux sur le cathétérisme du cœur, veuillez consulter « <a href="/Article?contentid=59&language=French">Cathétérisme cardiaque : Se préparer à l'intervention</a> ». </span></p> <figure><span class="asset-image-title">VSD closure with catheterization</span><img src="https://assets.aboutkidshealth.ca/akhassets/VSD_closure_device_MED_ILL_FR.png" alt="" /><figcaption class="asset-image-caption">Un cathéter est inséré jusque dans le cœur par l'entremise d'un vaisseau sanguin. Un dispositif de fermeture est inséré au moyen du cathéter et placé dans la communication interauriculaire. Une fois que le dispositif est en place, on enlève le cathéter.</figcaption></figure><h2>À retenir</h2> <ul> <li>Une communication interventriculaire est un trou entre les deux cavités inférieures du cœur. Pour fermer ce trou, le médecin installera un instrument spécial dans le cœur de votre enfant. </li> <li>Si le trou est trop gros pour être fermé avec l instrument ou s il est mal placé, il sera fermé au moyen d une opération. </li> <li>Il y a de faibles risques que votre enfant ait des complications issues de l intervention. Le médecin vous expliquera les risques avant l intervention. </li> <li>Votre enfant aura besoin d un anesthésique et devra rester à l hôpital pour la nuit après l intervention. </li></ul><h2>De quoi a l'air l'instrument de fermeture et comment demeure-t-il en place?</h2> <p>L'instrument de fermeture est fait de métal et de maille. Il ressemble à un court tube avec des disques (cercles) de différentes tailles à chaque bout. Avant d'être inséré, les disques se remplient pour que le dispositif puisse entrer dans le cathéter. Quand le dispositif est bien placé, un disque s'ouvre, et l'instrument sort du cathéter. La partie qui sort du tube bouche l'ouverture, et l'autre disque à l'autre bout s'ouvre. </p> <h2>Ce qui se passe pendant l'intervention</h2> <p>Votre enfant est sous anesthésie générale pendant l'intervention, c'est-à-dire qu'il sera endormi tout au long de l'opération. </p> <p>Ce ne sont pas toutes les communications interventriculaires qui peuvent être fermées au moyen du cathétérisme. Nous devons donc mesurer la communication pour vérifier si on peut la fermer avec un instrument spécial dans le laboratoire. </p> <p>Quand votre enfant sera endormi, nous procèderons à un test appelé échocardiographie transoesophagienne. Le terme « échocardiographie » signifie un ultrason du cœur. Le terme «transoesophagienne » signifie que l'ultrason se fait avec une petite sonde placée dans l'œsophage de votre enfant, le tube qui fait le lien entre la bouche et l'estomac. Ce test mesure la taille du trou et aide à placer l'instrument de fermeture. </p> <ul> <li>Si le test montre que le trou est trop grand pour être fermé à l'aide de l'instrument, nous réveillerons votre enfant et l'enverrons à la salle de réveil. Le cardiologue de votre enfant expliquera les prochaines étapes à vous et à votre enfant. </li> <li>Si le trou est assez petit et bien placé, nous procèderons avec le cathétérisme. </li></ul> <p>Pendant le cathétérisme, le médecin insère un cathéter avec un petit ballonnet dégonflé au bout dans les vaisseaux sanguins de votre enfant jusqu'au trou. Le ballonnet est gonflé pour que l'on puisse mesurer à nouveau la taille du trou. Si le trou peut être fermé à l'aide de l'instrument, le médecin place l'instrument à l'intérieur du cathéter et place l'instrument dans le trou. </p> <p>Une fois l'instrument en place, le médecin retire le cathéter et couvre la coupure sur la jambe de votre enfant d'un pansement. </p> <h2>L'intervention prend habituellement de trois à quatre heures</h2> <p>L'intervention prend habituellement deux à quatre heures. Après l'intervention, votre enfant se rendra à la salle de réveil, où il restera pour se réveiller de l'anesthésique. </p><h2>Après l'intervention</h2> <p>Votre enfant devra probablement passer la nuit à l'hôpital après l'intervention. Si c'est le cas de votre enfant, il sera transféré de la salle de réveil à l'unité de soins. Nous ferons une échocardiographie le lendemain pour vérifier l'emplacement de l'instrument. </p> <p>Le cardiologue vous dira quand votre enfant peut retourner à la maison.</p> <p class="ms-rteCustom-InternalLinksParagraph"><span>Pour en savoir davantage sur ce qu'il faut faire quand votre enfant retourne à la maison, consulter « <a href="/Article?contentid=1214&language=French">Cathétérisme du cœur : soins après l'intervention </a>». </span></p>

 

 

Ventricular septal defect: Closure in the heart catheterization lab1023.00000000000Ventricular septal defect: Closure in the heart catheterization labVentricular septal defect: Closure in the heart catheterization labVEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeartProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZLee Benson, MD, FRCP(C), FACC, FSCAI;Susan Johnston, RN, BScN;Jennifer Kilburn, RN, MN;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000068.0000000000000991.000000000000Health (A-Z) - ProcedureHealth A-Z<p>A ventricular septal defect is a hole in the membrane that separates the two vetricles of the heart. Read how heart catheterization fixes this defect.</p><h2>What is a ventricular septal defect?</h2><p>A ventricular septal defect (VSD) is an opening or hole in the wall that separates the two lower chambers of the heart. This wall is called the ventricular septum. The hole causes oxygen-rich blood to leak from the left side of the heart to the right side. This causes extra work for the right side of the heart, since more blood than necessary is flowing through the right ventricle to the lungs.</p><p>The hole is usually closed with surgery. However, in certain situations, your child's cardiologist and surgeon may think it is best to close the hole with a special device. This procedure is done in the heart catheterization lab.</p><h2>What is heart catheterization?</h2><p>During heart catheterization, the doctor carefully puts a long, thin tube called a catheter into a vein or artery in your child's neck or groin. The groin is the area at the top of the leg. Then, the catheter is threaded through the vein or artery to your child's heart.</p><p>The doctor who does the procedure is a cardiologist, which means a doctor who works on the heart and blood vessels. This may not be your child's regular cardiologist.</p><p>To learn about heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p> <figure><span class="asset-image-title">VSD closure with </span> <span class="asset-image-title"> catheterization</span><img src="https://assets.aboutkidshealth.ca/akhassets/VSD_closure_device_MED_ILL_EN.png" alt="" /><figcaption class="asset-image-caption">A</figcaption><figcaption class="asset-image-caption"> catheter is threaded through a blood vessel in the body up to the heart. A closure device is threaded through the catheter and placed into the VSD. Once the device is in place, the catheter is taken out.</figcaption></figure><h2>Key points</h2> <ul> <li>A ventricular septal defect is a hole between the two lower chambers of the heart. To close the hole, the doctor will place a special device in your child's heart. </li> <li>If the hole is too big to close with the device or in the wrong position, the hole will be closed with surgery. </li> <li>There is a small risk that your child will have complications from the procedure. Your child's doctor will explain the risks to you before the procedure. </li> <li>Your child will need to have an anaesthetic. Your child will need to stay overnight in the hospital after the procedure. </li> </ul><h2>Coming back for a check-up</h2> <p>Your child will be given an appointment to see the cardiologist within three months after the procedure. At that time, tests will be done to make sure that the hole is properly closed. </p> <p>Write the date and time of the appointment here:</p> <p> </p> <h2>Your child needs to take certain health precautions</h2> <h3>Antibiotics to prevent infectious endocarditis</h3> <p>Your child will need antibiotics before and after dental treatments for six months after the procedure. These drugs help prevent a heart infection called infectious endocarditis. Your child's cardiologist will tell you if this is needed for a longer time. </p> <h3>Acetylsalicylic acid (ASA) to prevent blood clots</h3> <p>Your child will need to take <a href="/Article?contentid=77&language=English">acetylsalicylic acid (ASA)</a> for six months after the procedure. ASA will prevent small blood clots from forming around the device. The doctor or nurse will tell you how much ASA to give your child before your child goes home. </p> <p>Write the instructions and dose here:</p> <p> </p> <p>Stop giving the ASA and call your family doctor or paediatrician if:</p> <ul> <li>your child has a cold or fever </li> <li>your child is exposed to chickenpox </li> </ul> <p>In general, you should give your child <a href="/Article?contentid=62&language=English">acetaminophen</a> for fever and colds, as directed by your doctor. The doctor will tell you when you can start the ASA again. </p> <p>If your child starts bruising easily, call your family doctor or paediatrician.</p> <h2>What does the closure device look like and how does it stay in place?</h2> <p>The closure device is made of metal and mesh material. It looks like a short tube with different-sized discs (circles) on either end. Before it is put in, the discs are folded so the device will fit in the catheter. When it is in the right place, one disc opens up as the device is moved out of the catheter. The tube portion plugs the hole and the other disc opens up on the opposite side of the hole. </p> <h2>What happens during the closure procedure</h2> <p>The procedure is performed while your child is under a general anaesthetic. This means that your child will be asleep during the procedure. </p> <p>Not every VSD can be closed with heart catheterization. Therefore, we first need to measure the VSD to make sure it can be closed with a device in the catheterization lab. </p> <p>When your child is asleep, we will do a test called a transesophageal echocardiogram. Echocardiogram means a heart ultrasound. Transesophageal means we do the ultrasound with a small probe that is placed in your child's esophagus, the tube that connects the mouth to the stomach. This test will measure the size of the hole and help place the closure device. </p> <ul> <li>If the test shows that the hole is too big to close with the device, we will wake up your child and send them to the recovery room. Your child's cardiologist will discuss the next steps with you and your child. </li> <li>If the hole is small enough and in the right position, we will go on with the catheterization. </li> </ul> <p>During the catheterization, the doctor puts a catheter with a small deflated balloon on the tip through the blood vessel to the hole. The balloon is inflated to measure the size of the hole again. If the hole can be closed with the device, the doctor puts the closure device inside the catheter and places the device into the hole. </p> <p>Once the device is in place, the doctor takes out the catheter and covers the cut on your child's leg with a bandage.</p> <h2>The procedure will take three to four hours</h2> <p>The procedure usually takes three to four hours. After the procedure, your child will go to the recovery room to wake up from the anaesthetic. </p><h2>After the procedure</h2> <p>Most children will spend the night in hospital after the procedure. If your child needs to spend the night, they will be transferred to the inpatient unit from the recovery room. We will do an echocardiogram the next morning to check the placement of the device. </p> <p>The cardiologist will let you know when your child can go home.</p> <p>For information on what to do after your child goes home, please see <a href="/Article?contentid=1214&language=English">Heart catheterization: Caring for your child after the procedure</a>.</p><h2>There are small risks of complications from the procedure</h2> <p>Generally, heart catheterization is a fairly low-risk procedure, but it is not risk-free. The doctor will explain the risks of heart catheterization to you in more detail before you give your consent for the procedure. The most common risks with ventricular septal defect closure are: </p> <h3>The catheter may break through a blood vessel</h3> <p>There is a very small risk that the catheter may break through a blood vessel or the heart wall. To reduce this risk, we use a type of X-ray called fluoroscopy to see where the catheter is at all times. </p> <h3>Complications may occur with the closure device</h3> <p>The closure device may be placed in the wrong position. If this happens, the doctors can see it on an echocardiogram and will take the device out. </p> <p>After the device has been opened, it may move out of position. If this happens, the cardiologist will try to take it out while the child is in the catheterization lab. If this is not possible, surgery will be arranged to take out the device and close the hole. </p> <h3>There is a small risk of heart rhythm problems</h3> <p>Sometimes the device can interfere with the heart's electrical system and cause problems with the heartbeat. This is called heart block. If this occurs, your child's cardiologist will discuss it with you in more detail. </p> <p>For general information about the risks of heart catheterization, please see <a href="/Article?contentid=59&language=English">Heart catheterization: Getting ready for the procedure</a>.</p>https://assets.aboutkidshealth.ca/akhassets/VSD_closure_device_MED_ILL_EN.pngVentricular septal defect: Closure in the heart catheterization lab

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