Treatment for atrial septal defect
There are several options for treatment:
Sometimes your doctor might recommend a “wait and watch” approach, since a small ASD may close on its own over time. Your child’s cardiologist would then see you regularly to monitor the size of the hole and whether it is causing any problems for your child.
Children with an ASD in the middle of the wall between the two chambers (known as secundum atrial septal defects) may be candidates for a repair of the hole with a small device. This procedure is called a transcatheter device closure, because the doctor accesses the heart through a catheter or small tube inserted in the blood vessels of the legs. Then, the tube is moved through the blood vessel into the heart. Once inside the heart, the doctor can place a device to close the ASD hole in the heart.
ASDs that are larger or that are located in certain areas require open heart surgery to patch the hole or stitch it closed.
What to expect when your baby has atrial septal defect
A pediatric cardiology specialist will see your child and help manage the plan of care. Depending on your child’s condition, they may require surgery to close the ASD.
If the ASD is small, follow up appointments will be made and repeat testing such as echocardiograms will be done to see if the ASD closes on its own.
If it does not close, your doctor will discuss the interventional cardiology and surgical options with you for future/elective closure.