Atrial septal defect in children is one of the most common congenital heart disease in Pediatrics, lighter symptoms of this disease in infancy, and not early detection. Size of atrial septal defect, much as a single, some for multiple or mesh. Symptoms of atrial septal defect with defect size but differentiated, small defect, left to right shunt less long-term asymptomatic, normal activity in children. Left to right shunt in children with a large quantity of large defect, symptoms occur earlier, and with age is more obvious, can be expressed as activity such as shortness of breath, fatigue, growth lagged behind peer in normal children, and susceptibility to respiratory infections, pneumonia and other diseases of internal medicine, early heart failure in severe cases.
Therefore, depending on the size of Atrial Septal Defect and left to right shunt amount of required different treatment strategies.
1, has a larger volume of left to right shunt before the operation is often complicated by pneumonia and heart failure in children with diseases of internal medicine, required medical treatment, such as the positive control of pneumonia, respiratory tract infections with antibiotics; heart failure should be on heart failure therapy, digoxin, diuretic drugs and dilated blood vessels.
2, has a larger volume of left to right shunt in children with atrial septal defect, and when there is no medical complications you may need surgery. General repair under extracorporeal circulation atrial septal defect. Particularly rapid development of the heart surgery in China in the past 30 years, technology has matured, satisfaction with the effect of Atrial Septal surgery correction of deformity. Suitable age for 4~5sui of operation.
3, in China in recent years the use of open chest methods in treatment of Atrial Septal defects in new technologies, by using the heart in transcatheter closure of atrial septal defect, that is, heart catheter mini folding umbrella closure of atrial septal defect has been successful, bringing the Gospel to in children with atrial septal defect.
4, of asymptomatic atrial septal defect, says small loss is in medicine, due to no significant hemodynamic change (less left to right shunt), does not need surgery, but must be regularly to check the heart at the hospital.
In short, as in children with atrial septal defect---the care of parents or other nursing staff, before the radical surgical correction is not accepted abnormalities in children with, you need to prevent respiratory tract infections, so at a time when changes whenever the weather is hot and cold, parents need to carefully care for their children, seasonal changes in clothing, less public place; also note keep indoor air fresh. Due to atrial septal defect in children with heart defects in many serious, often no exceptional performance in children, often ignored by parents. Once diagnosed with atrial septal defect, be sure to tie in with the doctor, after correction of deformities and children with normal, healthy child, could participate in various activities.
