bandage-green

Atrial Septal Defect and Patent Foramen Ovale Closure

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, arms tucked, Bed turned 90 degrees
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Fluoroscopy / Xray, Off-site, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, TEE

Anesthetic Approaches

1GETT, Remifentanil Drip
2MAC, Propofol Drip
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Deciding which defect gets which operation - Secundum defects with a rim of tissue all the way round can be caught by a percutaneous device, and that is the usual adult route. Ostium primum, sinus...

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