Atrial septal defect (ASD) and ventricular septal defect (VSD) repairAAtrial septal defect (ASD) and ventricular septal defect (VSD) repairAtrial septal defect (ASD) and ventricular septal defect (VSD) repairEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartCardiovascular systemProceduresAdult (19+)NA2009-12-11T05:00:00ZJennifer Russell, MD, FRCPC9.0000000000000057.0000000000000292.000000000000Flat ContentHealth A-Z<p>Read about the procedure to close an atrial or ventricular septal defect with open-heart surgery.</p><p>The surgical treatment for atrial septal defect (ASDs) and ventricular septal defect (VSDs) is open-heart surgery. This page explains what this type of reparative surgery entails.</p><h2> Key points </h2> <ul><li>The cardiologist will likely wait a while before recommending surgical treatment to see if a septal defect closes naturally. </li> <li> If surgery is needed, the heart is stopped and opened, and the hole is closed with a patch of synethetic material or pericardium.</li> <li>Many ASDs can be closed without surgery by inserting an occluder device. </li></ul>
Correction de la communication interauriculaire (CIA) et de la communication intraventriculaire (CIV)CCorrection de la communication interauriculaire (CIA) et de la communication intraventriculaire (CIV)Atrial Septal Defect (ASD) and Ventricular Septal Defect (VSD) RepairFrenchCardiologyChild (0-12 years);Teen (13-18 years)HeartCardiovascular systemProceduresAdult (19+)NA2009-12-11T05:00:00ZJennifer Russell, MD, FRCPC9.0000000000000057.0000000000000292.000000000000Flat ContentHealth A-Z<p>Lisez les renseignements au sujet de l’intervention qui consiste à fermer une communication interauriculaire ou interventriculaire et qui est réalisée à cœur ouvert.</p><p>Le traitement chirurgical pour une communication interauriculaire (CIA) et une communication interventriculaire (CIV) est une intervention chirurgicale à cœur ouvert. Cette page explique en quoi consiste ce type de chirurgie réparatrice.</p><h2> À retenir </h2> <ul><li>Le cardiologue attendra probablement un peu avant de recommander un traitement chirurgical pour voir si une malformation du septum interventriculaire se ferme naturellement. </li> <li>Si une intervention est nécessaire, on arrête le cœur, on l’ouvre, et on ferme le trou avec une pièce en matière synthétique ou un morceau du péricarde.</li> <li>De nombreuses communications interauriculaires (CIA) peuvent être fermées sans intervention en insérant un dispositif d’occlusion. </li></ul>

 

 

Atrial septal defect (ASD) and ventricular septal defect (VSD) repair1659.00000000000Atrial septal defect (ASD) and ventricular septal defect (VSD) repairAtrial septal defect (ASD) and ventricular septal defect (VSD) repairAEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartCardiovascular systemProceduresAdult (19+)NA2009-12-11T05:00:00ZJennifer Russell, MD, FRCPC9.0000000000000057.0000000000000292.000000000000Flat ContentHealth A-Z<p>Read about the procedure to close an atrial or ventricular septal defect with open-heart surgery.</p><p>The surgical treatment for atrial septal defect (ASDs) and ventricular septal defect (VSDs) is open-heart surgery. This page explains what this type of reparative surgery entails.</p><h2> Key points </h2> <ul><li>The cardiologist will likely wait a while before recommending surgical treatment to see if a septal defect closes naturally. </li> <li> If surgery is needed, the heart is stopped and opened, and the hole is closed with a patch of synethetic material or pericardium.</li> <li>Many ASDs can be closed without surgery by inserting an occluder device. </li></ul><p>A hole in the wall between the two upper collecting chambers (ASD) or between the two bottom pumping chambers (VSD) can cause problems. The severity of the symptoms depends on the size and the location of the defect and can range from no symptoms at all to severe heart failure. Heart failure in a baby results in poor feedings and poor weight gain. In older children, heart failure may cause decreased exercise tolerance and shortness of breath. </p><p>Depending on their size and location, septal defects may close by themselves. The cardiologist will likely wait a while before recommending surgical treatment to see if that happens naturally. In cases involving larger holes and severe symptoms, however, treatment with surgery or catheter closure with a device will be needed. </p><p>The surgical treatment for ASDs and VSDs is open-heart surgery. The heart is stopped and opened, and the hole is closed with a patch made of a synthetic material like Dacron or a patch of pericardium (the thick sac that surrounds the heart). Complications are minimal and the length of stay in the hospital is about three days. </p><p>Complications are the ones associated with any open-heart surgery. For VSDs, there is also a small risk of heart block by damage to the heart's conduction system (1% risk). This could require a pacemaker insertion. </p><p>Many ASDs can be closed without surgery. This is done by inserting an occluder device in the catheterization laboratory. This procedure does not require a surgical incision or leave a scar. It is often a day procedure, although sometimes your child stays overnight in hospital. Use of this device depends on the size or your child and the size and location of the hole. </p><p>For more information, please read <a href="/Article?contentid=1670&language=English">Closure Device Insertion</a>.</p>Atrial septal defect (ASD) and ventricular septal defect (VSD) repair

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.