Postoperative precautions for atrial septal defect surgery

Written by Li Hai Wen
Cardiology
Updated on March 20, 2025
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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.

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Written by Li Hai Wen
Cardiology
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Can someone with atrial septal defect travel by airplane?

Atrial septal defect is a relatively common congenital heart disease in daily life. Many patients with atrial septal defect often ask if they can fly on planes. This depends on the specific condition. If the atrial septal defect is combined with severe cardiac damage, such as heart failure, then flying is definitely not allowed. However, if the atrial septal defect is mild, not severe, without clinical symptoms or cardiac damage, then it is indeed possible to fly. It is recommended for those in this condition to visit a cardiology outpatient clinic at a hospital and ask a doctor to make an assessment.

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Written by Li Hai Wen
Cardiology
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How severe is an atrial septal defect considered to be?

Atrial septal defect (ASD) is a relatively common congenital heart disease in clinical practice. From a medical perspective, the severity of ASD depends on whether the patient is an adult or a child. For adults with ASD, generally speaking, defects larger than 20 millimeters are considered large atrial septal defects, which are more severe. If the defect size is between 10 and 20 millimeters, it is often classified as a moderate atrial septal defect. Defects smaller than 4 millimeters are considered small atrial septal defects. Generally, small and moderate atrial septal defects are not severe. For children, an atrial septal defect larger than 10 millimeters is considered a large atrial septal defect, which is more severe. Sizes between 5 and 10 millimeters are classified as moderate atrial septal defects. Defects smaller than 5 millimeters are considered small atrial septal defects, which generally are not severe.

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Written by Tang Li
Cardiology
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How to treat atrial septal defect

Typical cardiac murmur ECG and X-ray findings may suggest the presence of an atrial septal defect. An echocardiogram can confirm the diagnosis, and it should be differentiated from conditions such as anomalous pulmonary venous return, pulmonary valve stenosis, and small ventricular septal defects. For the treatment of atrial septal defects, in adult patients, if echocardiographic evidence of increased right ventricular volume load is present, the defect should be closed as soon as possible. Treatment options include interventional and open-heart surgical procedures. Before the implementation of interventional surgeries, all cases of simple atrial septal defects that have caused hemodynamic changes, with signs of increased pulmonary blood flow, enlargement of the atria and ventricles, and corresponding ECG findings, should undergo surgical treatment. In older patients with severe pulmonary hypertension, surgical treatment should be approached with caution.

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Written by Tang Li
Cardiology
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Is atrial septal defect common?

Atrial septal defect accounts for about 20%-30% of all congenital heart diseases and is more common in females. Many cases are mild in children and are not discovered until adulthood. Atrial septal defects can be classified based on anatomical abnormalities into patent foramen ovale, primary atrial septal defect, and secondary atrial septal defect. A patent foramen ovale generally does not cause shunting between the two atria. A primary atrial septal defect is located at the lower part of the atrial septum, is semicircular in shape, and is often larger, frequently associated with malformation of the mitral or tricuspid valves resulting in regurgitation. A secondary atrial septal defect is situated in the middle of the atrial septum at the fossa ovalis or near the superior and inferior vena cava. The symptoms of an atrial septal defect vary with the size of the defect; minor cases may be asymptomatic, while severe cases can result in heart failure.

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Written by Di Zhi Yong
Cardiology
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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.