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Atrial septal defect: Closure in the heart catheterization labAAtrial septal defect: Closure in the heart catheterization labAtrial septal defect: Closure in the heart catheterization labEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeart;Arteries;VeinsProceduresCaregivers Adult (19+)NA2009-11-06T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000071.00000000000001045.00000000000Health (A-Z) - ProcedureHealth A-Z<p>An atrial septal defect is an opening in the membrane between two chambers of the heart. Learn about heart catheterization to fix atrial septal defects.</p><h2>What is an atrial septal defect?</h2><p>An atrial septal defect (ASD) is an opening or hole in the wall that separates the two upper chambers of the heart. This wall is called the atrial 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>If the ASD is small enough, it can be closed with a special device. The procedure is done in the heart catheterization lab.</p><h2>What is heart catheterization?</h2><p>During <a href="/Article?contentid=59&language=English">heart catheterization</a>, 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> <figure class="asset-c-80"> <span class="asset-image-title">ASD closure with catheterization</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Atrial_septal_defect_closure_MED_ILL_EN.png" alt="A heart with an atrial septal defect before procedure and a heart with a closure device and catheter" /> <figcaption class="asset-image-caption">A 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 ASD. Once the device is in place, the catheter is taken out.</figcaption></figure><h2>Key points</h2> <ul> <li>An atrial septal defect is a hole between the two upper chambers of the heart. To close the hole, the doctor will place a special device in your child's heart by catheterization. </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 anesthetic. </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 ASD can be closed with heart catheterization. Therefore, we first need to measure the ASD 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 one to two hours</h2> <p>The procedure usually takes one to two hours, but it can take longer. After the procedure, your child will go to the recovery room to wake up from the anesthetic. </p><h2>After the procedure</h2> <p>The cardiologist will let you know when your child can go home. Your child will stay in the hospital for at least four to six hours after the procedure. Most children can go home on the same day as the procedure. If your child goes home overnight, you will have to bring them back in the morning to have an echocardiogram. This test is to to make sure that there is no fluid around the heart. </p> <p>If your child needs to stay overnight, they will be transferred to the inpatient unit. Your child will have the echocardiogram the next morning. </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 interauriculaire : fermeture dans le laboratoire de cathétérisme cardiaqueCCommunication interauriculaire : fermeture dans le laboratoire de cathétérisme cardiaqueAtrial septal defect: Closure in the heart catheterization labFrenchCardiologyChild (0-12 years);Teen (13-18 years)HeartHeart;Arteries;VeinsProceduresCaregivers Adult (19+)NA2009-11-06T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000071.00000000000001045.00000000000Health (A-Z) - ProcedureHealth A-ZLa communication interauriculaire est une ouverture dans la membrane entre les deux oreillettes du cœur.<h2>Qu’est-ce que la communication interauriculaire?</h2><p>La communication interauriculaire (CIA) est une ouverture ou un trou dans la cloison qui sépare les deux oreillettes du cœur. Cette cloison s’appelle le septum interauriculaire. Le trou permet au sang riche en oxygène de couler du côté gauche du cœur au côté droit, ce qui exige un effort supplémentaire au côté droit du cœur puisqu’il y a plus de sang que nécessaire qui coule du ventricule droit jusqu’aux poumons. </p><p>Si la CIA est suffisamment petite, on peut la fermer à l’aide d’un instrument spécial. L’intervention est effectuée dans le laboratoire de cathétérisme cardiaque.</p><h2>Qu’est-ce que le cathétérisme cardiaque?</h2><p>Pendant le cathétérisme cardiaque, le médecin insère soigneusement un tube long et mince appelé un cathéter dans une veine ou une artère du cou ou de l’aine de votre enfant. L’aine est la région située en haut de la jambe. Puis, le cathéter est enfilé dans la veine ou l’artère de votre enfant jusqu’à son cœur. </p><p>Le médecin qui procède à l’intervention est un cardiologue, c’est-à-dire un médecin spécialiste du cœur et des vaisseaux sanguins. Il est possible que ce ne soit pas le cardiologue habituel de votre enfant. </p> <figure><span class="asset-image-title">Fermeture d'une communication interauriculaire au moyen d'un cathéter <img src="https://assets.aboutkidshealth.ca/akhassets/Atrial_septal_defect_closure_MED_ILL_FR.png" alt="Un cœur avec une communication interauriculaire avant intervention et un cœur avec un instrument de fermeture et un cathéter" /> <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 le dispositif en place, on enlève le cathéter.</figcaption></span></figure><h2>Points clés</h2> <ul> <li>La communication interauriculaire est un trou entre les deux oreillettes du cœur. Pour fermer le trou, le médecin insèrera un instrument spécial dans le cœur de votre enfant au moyen du cathétérisme. </li> <li>Si le trou est trop gros pour être fermé à l’aide de l’instrument ou s’il est au mauvais endroit, le trou sera fermé à l’aide d’une chirurgie. </li> <li>Il y a peu de risque que votre enfant développe des complications à la suite de l’intervention. Le médecin de votre enfant pour expliquera les risques avant l’intervention. </li> <li>Votre enfant devra être sous anesthésie. </li></ul> <h2>À quoi ressemble l’instrument de fermeture et comment fait-il pour rester en place?</h2> <p>L’instrument de fermeture est une ombrelle métallique. Il ressemble à un petit tube muni de disques (cercles) de différentes grosseurs à chaque extrémité. Avant de l’insérer, les disques sont repliés afin que l’instrument entre dans le cathéter. Une fois en place, un des disques s’ouvre lorsque l’on retire l’instrument du cathéter. Le tube bouche le trou et l’autre disque s’ouvre de l’autre côté du trou. </p><h2>Que-ce passe-t-il pendant l’intervention de fermeture?</h2> <p>On procède à l’intervention alors que votre enfant est sous anesthésie générale. Cela signifie que votre enfant dormira pendant l’intervention. </p> <p>Le cathétérisme cardiaque ne peut pas fermer toutes les CIA. On doit donc mesurer la CIA afin de s’assurer qu’il est possible de la fermer à l’aide d’un instrument dans le laboratoire de cathétérisme. </p> <p>Pendant que votre enfant dort, nous effectuerons un test appelé une échocardiographie transœsophagienne. L’échocardiographie est un ultrason du cœur. « Transœsophagienne » signifie que nous effectuons l’ultrason à l’aide d’une petite sonde placée dans l’œsophage de votre enfant, soit le tube qui relie la bouche à l’estomac. Ce test mesurera la grosseur du trou et aidera à placer l’instrument de fermeture. </p> <ul> <li>Si le test démontre que le trou est trop gros pour être fermé à l’aide de l’instrument, nous réveillerons votre enfant et nous l’enverrons à la salle de réveil. Le cardiologue de votre enfant discutera des prochaines étapes avec vous et votre enfant. </li> <li>Si le trou est assez petit et au bon endroit, nous poursuivrons avec le cathétérisme. </li></ul> <p>Pendant le cathétérisme, le médecin insère un cathéter muni, à la pointe, d’un petit ballonnet de distension dégonflé dans le vaisseau sanguin jusqu’au trou. On gonfle le ballonnet de distension afin de mesurer la grosseur du trou de nouveau. S’il est possible de fermer le trou à l’aide de l’instrument, le médecin insère l’instrument de fermeture dans le cathéter et place l’instrument dans le trou. </p> <p>Une fois que l’instrument est en place, le médecin retire le cathéter et recouvre l’incision sur la jambe de votre enfant d’un bandage. </p> <h2>L’intervention est d’une durée de une à deux heures</h2> <p>L’intervention dure habituellement de une à deux heures, mais elle peut être plus longue. Après l’intervention, votre enfant sera transporté à la salle de réveil pour se réveiller de l’anesthésie.</p><h2>Après l’intervention</h2> <p>Le cardiologue vous laissera savoir à quel moment votre enfant peut retourner à la maison. Votre enfant restera à l’hôpital au moins quatre à six heures après l’intervention. La majorité des enfants peuvent retourner à la maison la journée même de l’intervention. Si votre enfant retourne à la maison pour y passer la nuit, votre devrez le ramener le lendemain matin pour une échocardiographie. Ce test vise à s’assurer qu’il n’y a aucun fluide autour du cœur. </p> <p>Si votre enfant doit passer la nuit à l’hôpital, il sera transféré à l’unité des malades hospitalisés. On procèdera à l’échocardiographie le lendemain. </p> <p class="ms-rteCustom-InternalLinksParagraph">Pour savoir quoi faire une fois que votre enfant est à la maison, veuillez consulter «<a href="/Article?contentid=1214&language=French">Cathétérisme cardiaque : prendre soin de son enfant après l’intervention</a>». </p>

 

 

Atrial septal defect: Closure in the heart catheterization lab46.0000000000000Atrial septal defect: Closure in the heart catheterization labAtrial septal defect: Closure in the heart catheterization labAEnglishCardiologyChild (0-12 years);Teen (13-18 years)HeartHeart;Arteries;VeinsProceduresCaregivers Adult (19+)NA2009-11-06T05:00:00ZJackie Hubbert, BScN;Lee Benson, MD, FRCP(C), FACC, FSCAI;Carrie Morgan, RN, MN;Cindy Wasyliw, RN, BNSc7.0000000000000071.00000000000001045.00000000000Health (A-Z) - ProcedureHealth A-Z<p>An atrial septal defect is an opening in the membrane between two chambers of the heart. Learn about heart catheterization to fix atrial septal defects.</p><h2>What is an atrial septal defect?</h2><p>An atrial septal defect (ASD) is an opening or hole in the wall that separates the two upper chambers of the heart. This wall is called the atrial 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>If the ASD is small enough, it can be closed with a special device. The procedure is done in the heart catheterization lab.</p><h2>What is heart catheterization?</h2><p>During <a href="/Article?contentid=59&language=English">heart catheterization</a>, 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> <figure class="asset-c-80"> <span class="asset-image-title">ASD closure with catheterization</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Atrial_septal_defect_closure_MED_ILL_EN.png" alt="A heart with an atrial septal defect before procedure and a heart with a closure device and catheter" /> <figcaption class="asset-image-caption">A 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 ASD. Once the device is in place, the catheter is taken out.</figcaption></figure><h2>Key points</h2> <ul> <li>An atrial septal defect is a hole between the two upper chambers of the heart. To close the hole, the doctor will place a special device in your child's heart by catheterization. </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 anesthetic. </li> </ul><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">ASA</a> for six months after the procedure, to 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>Coming back for a check-up</h2> <p>Your child will be given an appointment to see your regular cardiologist one month after the procedure.</p> <p>Write the date and time of the appointment here:</p> <p></p> <p>Your child will need follow-up appointments every six months for the first two years after the closure. We will do tests to make sure that the ASD is properly closed. </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 ASD can be closed with heart catheterization. Therefore, we first need to measure the ASD 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 one to two hours</h2> <p>The procedure usually takes one to two hours, but it can take longer. After the procedure, your child will go to the recovery room to wake up from the anesthetic. </p><h2>After the procedure</h2> <p>The cardiologist will let you know when your child can go home. Your child will stay in the hospital for at least four to six hours after the procedure. Most children can go home on the same day as the procedure. If your child goes home overnight, you will have to bring them back in the morning to have an echocardiogram. This test is to to make sure that there is no fluid around the heart. </p> <p>If your child needs to stay overnight, they will be transferred to the inpatient unit. Your child will have the echocardiogram the next morning. </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 ASD closure are as follows: </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>Your child may develop fluid around the heart</h3> <p>There is a very small risk that your child will develop fluid around the heart after the procedure. Your child will have an echocardiogram on the morning after the procedure so we can check for this problem. </p> <h3>Complications may occur with the closure device</h3> <p>While the device is being put in position, there is a risk that it may be put in the wrong place, move or fall out of the hole. The doctors can see this on an echocardiogram. If this happens, the cardiologist will try to move the device or 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> <p>Once the device has been in place for some time, there is a small risk that the device may become eroded (worn) and damage the heart. </p>https://assets.aboutkidshealth.ca/akhassets/Atrial_septal_defect_closure_MED_ILL_EN.pngAtrial septal defect: Closure in the heart catheterization labFalse

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