ASD (ATRIAL SEPTAL DEFFECT)
ASD
ASD is the hole or defect in the partition wall of the upper most two chambers of the heart (between Left Atrium and Right Atrium). This causes mixing of pure blood with impure blood. ASD is a congenital heart disease , present by birth. Most of the small holes closes by itself as the child grows , some small holes remain life long without any hemodynamic compromise. Large ASD with symptoms and changes in the heart chambers needs to be closed.
Ref Fig. Blausen.com staff (29 August 2014). "Medical gallery of Blausen Medical 2014".
treatments
DEVICE CLOSURE
SURGICAL PATCH CLOSURE
SURGICAL PATCH CLOSURE
Now device closure is becoming a treatment of choice for ASD closure but there are some mandatory preop conditions for the procedures like small size, good margins in the perimetry of the defect. If margins are not adequate then device failure can occur and may lead to complications like device migration and embolization in an attempt for device closure. Such patient should go for surgical closure.
(Ref. Fig Blausen.com staff (29 August 2014). "Medical gallery of Blausen Medical 2014" )
SURGICAL PATCH CLOSURE
SURGICAL PATCH CLOSURE
SURGICAL PATCH CLOSURE
Surgical closure is nearly 100% secure with less than 1% death risk of the procedure. Nowadays most of the ASD surgical closure are being done with minimally invasive technique with incision size less than 2 inches through right anterolateral minithoracotomy incision without cutting any bone or anterior chest scar. Always ask your surgeon for MICS-ASD closure.
(Ref. Fig Blausen.com staff (29 August 2014). "Medical gallery of Blausen Medical 2014" )
mics-asd
In MICS-ASD closure, the hole(ASD) is closed through the small right anterolateral minithoracotomy without cutting any bone with incision smaller than 2 inches.