Septal Defect Repair

Septal defects are common congenital heart defects, problems with your heart's structure that are present at birth. These defects change the normal flow of blood through your heart.

Septal defect repair involves placing a closure device into your heart using a thin tube called a catheter. UPMC structural heart specialists are experts at minimally invasive procedures to repair septal defects.

What Is Septal Defect Repair?

Septal defects are common congenital heart defects, or problems with your heart's structure that are present at birth. These defects change the normal flow of blood through your heart.

A hole in the septum between your heart's two upper chambers is called an atrial septal defect (ASD). A hole in the septum between your heart's two lower chambers is called a ventricular septal defect (VSD). These defects are commonly called a "hole in the heart."

Septal defect repair involves placing a closure device in your heart using a thin tube called a catheter. The device will close your ASD or VSD.

Conditions we treat with septal defect repair

• Atrial septal defect.
• Ventricular septal defect.

Why Would I Need Septal Defect Repair?

Some septal defects close on their own. Small septal defects can often be monitored without the need for surgery. However, a larger hole or one that doesn't close may need to be repaired. UPMC surgeons are experts at minimally invasive procedures for ASD and VSD repair.

Who’s a candidate for septal defect repair

You may be a candidate for septal defect repair if you have a hole in your heart that does not close.

What Are the Risks and Complications of Septal Defect Repair?

Septal defect repair is a minimally invasive procedure. However, like all medical procedures, it has some risks, including:

• Bleeding or blood clot.
• Bleeding or bruising.
• Infection.
• Allergic reactions.
• Abnormal heart rhythm.

What Should I Expect From Septal Defect Repair?

Before: How to prepare for septal defect repair

Your doctor will explain the septal defect repair procedure and answer your questions. To prepare for the procedure, you should:

• Tell your doctor if you are sensitive or allergic to any medications, iodine, latex, tape, or anesthetic agents (local and general).
• Tell your doctor about all medications (prescription and over-the-counter) and herbal or other supplements you are taking.
• Tell your doctor if you have heart valve disease. You may need to receive an antibiotic before the procedure.
• Tell your doctor if you have a history of bleeding disorders or if you are taking any blood-thinning medications, aspirin, or other medications that affect blood clotting. You may need to stop some of the medications before the procedure.
• Fast for a certain time before the procedure. Your doctor will tell you how long to fast (usually overnight).
• Have any tests that your doctor recommends. For example, your doctor may request a blood test prior to the procedure to determine how long it takes your blood to clot.

On the day of your procedure, be sure to bring your photo ID and health insurance card(s). Leave valuables such as cash and jewelry at home.

You will need to stay in the hospital for several days after your procedure. You should bring toiletries, a robe, slippers, a cell phone and charger, medications, and a change of clothes. You should also arrange for someone to drive you home from the hospital after you are discharged.

How long does septal defect repair take?

Septal defect repair takes 1-3 hours.

During your septal defect repair

Septal defect repair involves placing a closure device into your heart using a thin tube called a catheter. Your surgeon will:

• Make a tiny incision in your groin and insert the catheter into your artery.
• Guide the catheter to your heart.
• Place the closure device across your ASD or VSD to close the hole.

Recovery after septal defect repair

You will be moved to recovery for observation and monitoring when your procedure is completed. You may be required to spend several nights in the hospital. Your doctor will provide more information about your hospital stay and recovery.

You should talk to your doctor about when it is safe to resume normal activities. It is very important that you see your doctor for follow-up visits as recommended.

When to call your doctor about septal defect repair complications

You should call your doctor if you are experiencing any unusual symptoms, including:

• Pain, redness, bleeding, drainage, or increased swelling at the insertion site.
• Burning or pain in your chest.
• Rapid or pounding heartbeat.
• Severe pain, coldness, numbness, or discoloration in the limb where the catheter was inserted.
• A fever of more than 100.0°F.
• New or increasing shortness of breath.
• Difficulty breathing.
• Difficulty swallowing, throat pain, or bloody cough.
• Redness or rash on your chest or back.

If any of these symptoms are severe, you should dial 911 immediately.

What’s the prognosis after septal defect repair?

Most people can live normal, active lives after septal defect repair. However, you may need follow-up care to ensure your device remains in place.

What’s the success rate of septal defect repair?

Septal defect repair is successfully performed in more than 99% of cases with no complications.

Why Choose UPMC for Septal Defect Repair?

UPMC specialists are among the most experienced in the region at diagnosing and treating septal defects. If your septal defect requires repair, our experienced structural heart experts can provide advanced treatment using minimally invasive catheter-based techniques.

By UPMC Editorial Staff. Last reviewed on 2024-10-01.