Atrial septal defect and ventricular septal defect

The treatment methods of atrial septal defect and ventricular septal defect mainly include interventional occlusion, thoracotomy, transcatheter occlusion + left atrial appendage ligation, palliative surgery and postoperative management. The specific treatment methods need to be comprehensively judged according to the patient's condition. The treatment methods of atrial septal defect and ventricular septal defect mainly include the following: 1. Interventional occlusion: The device is delivered to the defect site via femoral vein or jugular vein to occlude the atrial septum and ventricular septum. This method is less invasive and faster to recover, but it may not be suitable for larger defects or other cardiac malformations. 2. Open thoracotomy: Open the chest at the middle of the chest and repair the atrial septum and ventricular septum defect directly. This method is suitable for all types of atrial septal defect and ventricular septal defect, but the surgical trauma is large and the recovery time is long.3. Transcatheter interventional occlusion + left atrial appendage ligation: For patients with atrial fibrillation or other high risk factors of thrombosis, the left atrial appendage can be ligated by interventional method to prevent thrombosis while occluding atrial septal defect. 4. Palliative surgery: Such as atrial septal ostomy, ventricular septal pulmonary artery sling correction, etc., mainly used to improve symptoms, for further treatment to buy time.5.Postoperative management: postoperative vital signs need to be closely monitored, anti-infection, cardiotonic, diuretic treatment, and regular cardiac ultrasound examination, evaluation of surgical effect and cardiac function recovery. When choosing a treatment method, factors such as age, defect size and location, associated cardiac abnormalities, and cardiac function should be considered. Simple ASDs can be treated with interventional closure or thoracotomy. Complex cases or patients with other cardiac diseases may require multidisciplinary team collaboration. It should be noted that the treatment of atrial septal defect and ventricular septal defect needs to be carried out under the guidance of a professional cardiovascular surgeon. During the treatment process, patients and family members should actively cooperate with the doctor's treatment plan and follow the doctor's advice for postoperative care and follow-up to improve the treatment effect and prognosis.