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- Post-operative Care Instructions:
- For patients who underwent the procedure through the groin (inguinal) area, a sandbag will be applied for 4 to 6 hours (adjusted as needed) to apply pressure, and the patient must remain lying flat for at least 12 hours.
- Mild pain or discomfort at the wound site is normal; pain relief medication can be given if necessary.
- Avoid strenuous exercise for one month after the procedure.
- If you have any questions before discharge, please consult your doctor or nurse for relevant information.
- Follow-Up:
- Regular follow-ups are necessary, especially in the first two years post-closure.
- Assessments will include echocardiography to check for residual shunts, right ventricular (RV) size/function, and pulmonary artery pressure (PAP).
- Patients should also be monitored for arrhythmias via ECG or Holter monitoring if indicated.
- Medication:
- Antiplatelet therapy (e.g., aspirin) is recommended for at least six months post-device closure.
- For those with a history of arrhythmias or stroke, additional anticoagulation may be required.
- Activity & Lifestyle:
- No restrictions for patients without pulmonary hypertension (PH) or arrhythmias.
- Patients with PH should limit themselves to low-intensity activities.
- If atrial fibrillation (AF) is present, rhythm management strategies should be discussed with a cardiologist.
- Potential Complications:
- Residual shunts, device-related issues (e.g., erosion, thrombus formation), and arrhythmias, particularly in patients over 40 years old.
- Late arrhythmias, such as atrial flutter or atrial fibrillation, may develop years after closure.
- Special Considerations:
- Pregnancy: Generally safe for women without PH, but consultation with a cardiologist is advised before conception.
- Infective Endocarditis (IE) Prevention: During the first 6 months after device implantation—while the device is becoming fully endothelialized—patients undergoing dental procedures (extractions, periodontal surgery, implants), tonsillar/adenoid surgery, or other invasive procedures associated with bacteremia should inform their dentist or physician that an ASD closure device is in place, and receive prophylactic antibiotics as directed by the cardiologist, in order to reduce the risk of infective endocarditis. After 6 months, once the device is fully endothelialized, routine IE prophylaxis is generally no longer required.
Summary for a Patient After Atrial Septal Defect (ASD) Closure 心房中隔缺損關閉器術後說明
2026/5/29
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電話：(04) 22052121 分機 12316
HE-10167-E
電話：(04) 22052121 分機 12316
HE-10167-E
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