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- Post-operative Care Instructions:
- For patients who underwent the procedure through the groin (inguinal) area, a sandbag will be applied for 4 to 6 hours (adjusted as needed) to apply pressure, and the patient must remain lying flat for at least 12 hours.
- Mild pain or discomfort at the wound site is normal; pain relief medication can be given if necessary.
- Avoid strenuous exercise for one month after the procedure.
- If you have any questions before discharge, please consult your doctor or nurse for relevant information.
- Follow-Up:
- Regular follow-ups are necessary, especially in the first two years post-closure.
- Assessments will include echocardiography to check for residual shunts, right ventricular (RV) size/function, and pulmonary artery pressure (PAP).
- Patients should also be monitored for arrhythmias via ECG or Holter monitoring if indicated.
- Medication:
- Antiplatelet therapy (e.g., aspirin) is recommended for at least six months post-device closure.
- For those with a history of arrhythmias or stroke, additional anticoagulation may be required.
- Activity & Lifestyle:
- No restrictions for patients without pulmonary hypertension (PH) or arrhythmias.
- Patients with PH should limit themselves to low-intensity activities.
- If atrial fibrillation (AF) is present, rhythm management strategies should be discussed with a cardiologist.
- Potential Complications:
- Residual shunts, device-related issues (e.g., erosion, thrombus formation), and arrhythmias, particularly in patients over 40 years old.
- Late arrhythmias, such as atrial flutter or atrial fibrillation, may develop years after closure.
- Special Considerations:
- Pregnancy: Generally safe for women without PH, but consultation with a cardiologist is advised before conception.
- Infective Endocarditis (IE) Prevention: Prophylactic antibiotics are only recommended for high-risk patients.
Summary for a Patient After Atrial Septal Defect (ASD) Closure 心房中隔缺損關閉器術後說明
2025/4/8
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電話：(04) 22052121 分機 12316
HE-10167-E
電話：(04) 22052121 分機 12316
HE-10167-E
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