Atrial septal defect


Postoperative complications of atrial septal defect intervention surgery
Atrial septal defect is a relatively common congenital heart disease in clinical practice. Minimally invasive interventional treatment can effectively address atrial septal defects and generally leaves no surgical scars. The complications of atrial septal defects can be analyzed from the following aspects: First, puncture complications. Atrial septal defects require the puncture of the femoral vein. A small number of patients may experience complications such as arteriovenous fistula, pseudoaneurysm, or hematoma at the puncture site. Generally, these complications are not serious and do not endanger the patient's life. Second, complications from dislodged occlusion devices. If the occlusion device becomes dislodged, it can lead to serious complications, including obstruction of the relevant blood vessels. Third, hemolytic reactions. A small number of patients may develop hemolytic reactions to the occlusion device. Such complications are also quite serious; however, they are very rare in clinical practice and do not require excessive concern.


Postoperative precautions for atrial septal defect surgery
Ventricular septal defect surgery is often divided into surgical operations and interventional treatments by the Department of Internal Medicine. For interventional treatments, it is important to rest in bed for 24 hours afterwards. Also, the site of the puncture needs to be immobilized for at least eight hours, so it is important to regularly check the heart with an echocardiogram after the surgery. After surgical operations, it is important to maintain a balanced diet with easily digestible foods. Within a month after surgery, try to avoid strenuous activities, and regularly check the heart with an echocardiogram under the guidance of a doctor.


Will babies with atrial septal defects develop slowly?
Babies with atrial septal defects do not necessarily develop more slowly. An atrial septal defect is one of the congenital heart diseases. If the diameter of the defect is relatively small, it will not affect the normal blood flow of the heart, the oxygen supply to the body, or significantly impact daily activities like sleeping or exercising for the baby. The growth and development of the baby would be normal, with no abnormalities compared to their peers. However, if the diameter of the atrial septal defect is relatively large, typically exceeding 6-8 millimeters, it can cause the baby to experience a lack of oxygen during physical activities, leading to a compromised quality of life and potentially causing delayed development.


What should I do if a ventricular septal defect causes feeding difficulties?
If the patient has a ventricular septal defect, it is still recommended that the patient seek hospital treatment. A murmur can be heard in the precordial area, and it is also advisable for the patient to undergo an echocardiogram to check if the defect is too large. If there is difficulty feeding during breastfeeding, it is personally advised not to breastfeed. Formula can be used instead, because if heart failure is not handled in a timely manner, it may sometimes worsen the symptoms. Since this is a congenital heart disease, the current treatment is primarily surgical. Medical treatment in internal medicine is not very effective and is prone to recurrence. During this period, it is also important to monitor changes in the patient's heart rate, blood pressure, and pulse. If there is an accelerated heart rate or increased blood pressure, these need to be addressed.


Can people with atrial septal defect run?
Atrial septal defect is a type of congenital heart disease. It is advised that patients avoid long-distance travel or running as these activities can increase the burden on the heart and also increase myocardial oxygen consumption. Surgical treatment is recommended for this condition. Patients with atrial septal defect may also experience symptoms such as palpitations and chest tightness, and a murmur can be heard in the precordial area. If the symptoms are severe, it is recommended that the patient primarily rests and avoids participating in sports activities, especially running. Running can require a lot of oxygen, or cause a rapid heart rate. A rapid heart rate can lead to increased myocardial oxygen consumption and may result in compensatory symptoms like palpitations, chest tightness, and shortness of breath. This situation is very dangerous and needs to be dealt with promptly; it is best to go to the hospital.


Can babies with ventricular septal defect sleep on their stomachs?
If the child has an atrial septal defect, it is not recommended for them to sleep on their stomach because this position can increase the burden on the heart, leading to an overload of the heart. This is a type of congenital heart disease. Currently, surgical treatment is primarily recommended, as early surgical intervention can alleviate the symptoms in children. Patients with ventricular septal defects typically display signs of ischemia and hypoxia, which can affect a child’s growth and development. It is advised to periodically re-examine the heart through echocardiography. If the defect is relatively large, early surgical treatment is recommended. It is also important to actively prevent upper respiratory infections, which can be beneficial for the child. In terms of sleeping posture, it is not recommended to sleep on the stomach; the best position is lying on the left side, as this can help alleviate the burden on the child’s heart.


Can atrial septal defect of the patent foramen ovale type heal itself?
This disease is a congenital heart disease, and it is recommended that the patient undergo a cardiac echocardiography. If symptoms such as palpitations and chest tightness occur, and distinct murmurs can be heard in the precordial area, surgical treatment is sometimes advised. After all, an atrial septal defect can lead to certain conditions, especially in children who are prone to pediatric pneumonia or bronchitis, which can affect their growth and development. Currently, surgical treatment is the main approach. If the issue is not very serious, the defect might heal on its own as the child grows, but this possibility is relatively small. In most cases, surgery is recommended.


Does an asymptomatic atrial septal defect require treatment?
If the patient has a ventricular septal defect and shows no obvious symptoms, it is possible to initially observe the condition. Firstly, this is a type of congenital heart disease, and it is recommended that the patient undergo a cardiac echocardiography to further confirm the diagnosis. If the defect is relatively large, surgery might sometimes be recommended. If the defect is not very large and the patient shows no obvious symptoms, there might be no need for immediate intervention, and regular monitoring would suffice. During this period, it is still important to monitor changes in the patient's blood pressure and heart rate. If the heart rate is too fast or the blood pressure is high, it might sometimes be necessary to actively treat these issues, possibly using medication to improve symptoms. In terms of treatment, surgery is generally advised as the main approach since medication often does not yield very effective results for this condition.


Does ventricular septal defect affect growth and development?
Because atrial septal defect is a type of congenital heart disease, if the patient's congenital heart disease is very severe, surgical treatment is needed. Atrial septal defect does have some impact on growth and development, as congenital heart disease can cause infections or pulmonary inflammation in patients, which can lead to developmental delays in children. Personally, I recommend that if it is a type of congenital heart disease, especially atrial septal defect, it is better to have surgery early, as this can avoid impacting growth and development. After the surgery, there are no sequelae, and it does not affect growth and development. However, not undergoing surgery can impact growth and development.


What should be paid attention to daily with an atrial septal defect?
If the patient has an atrial septal defect, it is advised that the patient should adhere to a light diet and regularly visit the hospital for electrocardiogram and echocardiography checks. If the defect is relatively large, I personally recommend surgical treatment for the patient, as it can effectively alleviate the current condition. After all, while drug treatment has some effect, there is a risk of recurrence. Surgery can permanently treat atrial septal defects and improve the patient’s symptoms. If the patient experiences difficulty breathing, this needs to be addressed. Additionally, it is important to keep warm, avoid catching cold, and monitor changes in the patient’s heart rate, blood pressure, and pulse.