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Last Updated: Jun 24, 2023
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Holes in the Heart - How Are Holes in the Heart Treated?

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Dr. Rajiv Kumar SrivastavaCardiologist • 42 Years Exp.M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
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Many children are born with Atrial Septal Defect, a condition which is popularly known as holes in the heart. It is a major concern for most parents, but, thankfully it can be treated very easily. None of the parents want their child to undergo hospitalization and the resulting pain that treatments might incur. However, the good news is all kinds of heart holes do not need to be closed by surgery at all. Many a time the holes are filled over time naturally and the child only needs to be under medical observation that’s all.

Catheter Procedure
In case a surgery needs to be performed, given the hole(s) in your child’s heart is medium to large sized, the surgeon makes sure that the procedure is painless. One of the commonest surgeries is one that involves the use of a catheter. Here, a catheter is attached to an umbrella-shaped device (a disk) and the apparatus is inserted through the groin region. The device is designed to reach your child’s heart and attach a disk to the hole, thereby filling it. When the process reaches completion the catheter is taken out of the body. The good thing about this surgery is that by six months natural tissues grow over the surgical site and re-operation is not required.

Open Heart Surgery
Another type of surgery that is performed to treat Atrial Septal Defect is an open heart surgery. This is only carried out only when the condition is serious. In this surgery too, the child is given medications that allow him/her to sleep throughout the procedure. Using a bypass machine the surgeons opens the heart and while the surgery is on, this machine imitates the pumping of the heart. The surgeon then uses a patch like a device to seal off the hole(s). Post surgery the child is discharged from the hospital within a week. There will be some guidelines that the concerned doctor might acquaint you with pertaining to the post-treatment care of the child. He/she might prepare a diet chart for your child.

Ventricular Septal Defect
Ventricular Septal Defect is a condition where a hole develops around the wall which separates the lower chambers of the heart. In most cases, the hole closes in on its own. If the hole is medium or large sized, a surgery will be performed. With surgery, your child would go back to leading a normal life. It is just that you need to take special care of his/her diet. The doctor might recommend foods that are high in calories. Make sure you follow the doctor’s advice properly and watch your child going back to bounding and playing like other children in no time.