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Interventional

Device Closure (ASD/VSD/PDA)

Closing holes in the heart through a small puncture — no open surgery.

Nitinol mesh septal occluder device held by forceps
Many holes in the heart are now closed without open surgery.

What it is

Many congenital heart defects — atrial septal defect (ASD), some ventricular septal defects (VSD), patent ductus arteriosus (PDA), and even VSR after heart attack — can now be closed by passing a small umbrella-like device through a vein. No open-heart surgery is needed in suitable cases.

When it's needed

  • ASD causing right-heart enlargement or symptoms
  • Selected VSDs
  • PDA in adults or older children
  • Post-infarct VSR (specialist evaluation needed)

How it's done

3D echo monitor showing ASD closure device deployment
3D echo and fluoroscopy guide the device into position.

Under fluoroscopy and 3D echocardiography (TEE) guidance, the device is delivered through a vein in the groin and positioned across the defect. The procedure takes 60–120 minutes.

Recovery

Young patient walking out of hospital with family after device closure
Most patients go home the next day and resume routine in a week.

Most patients go home the next day. Aspirin is given for 6 months. Routine activity resumes in a week.

Related conditions

FAQ

Questions patients ask us most

Is the device permanent?+

Yes. The body's own tissue grows over it within 6 months and it becomes a permanent part of the heart wall.

Can adults have ASD closure?+

Yes — many ASDs are only diagnosed in adulthood. Closure improves symptoms and reduces long-term complications.

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