St Vincents Private Hospitals

Why is it performed?

Septal defect closures are present from birth and are a structural problem that occur in the womb. Atrial defects (ASD) usually close up shortly after birth, but some babies are born with a large hole that does not close properly, and this can lead to blood leaking into the wrong chamber. Ventricular septum defects (VSD) can vary in size and location, and if the hole is small it is generally left to close up naturally. Where the hole is large enough to cause symptoms and complications, surgery is recommended to mitigate the damage to the heart and lungs. Symptoms generally include:

• Shortness of breath
• Fatigue
• Irregular heart rhythm (arrythmia)
• Fainting

Procedure

Non-invasive (percutaneous):

• A local anaesthetic is applied to the groin area
• A special catheter is inserted into the leg vein, carrying the closure device
• The catheter is guided up towards the location of the hole
• Once in position, the device is released and the hole is plugged
  
  

Surgical approach:

• A general anaesthetic is given 
• You are attached to a heart-lung bypass machine which controls your heartbeat
• An incision is made in your chest
• The hole is repaired using a special patch 
• The wound is closed and dressed

Recovery

After your procedure, your progress is monitored and your doctor will take some images of your heart to ensure the hole has closed successfully. Your medical team will talk to you about what to expect during your recovery, and any medication required. Follow-up appointments are necessary to ensure the septal defect closure has been sealed successfully.