Caring for Yourself after Percutaneous Atrial Septal Defect (ASD) or
Patent Foramen Ovale (PFO) Closure
You had an ASD or PFO closure on
_________________ through the
RIGHT / LEFT FEMORAL VEIN
ξ Have someone drive you home. You
should not drive at all today.
ξ If medicine was used to help you
relax during the procedure, you
should not make important decisions
until the next day.
ξ Rest quietly for the rest of the day.
You will have a follow up echocardiogram
in _____________ month(s).
ξ You may shower 24 hours after the
ξ Remove the Band-Aid® over the
site before taking a shower.
ξ Gently clean the site with soap and
water. Pat dry and leave open to air.
Do this for three days.
ξ Keep the site clean and dry.
Look at the site daily for any signs of
ξ Warmth over the site
ξ Increased tenderness
ξ Fever (101°F or greater)
If you have pain, you may take any mild
pain reliever that has worked for you in the
past. Some examples are Tylenol® tablet
325mg every 4-6 hours or
Motrin® /Ibuprofen tablet 200 mg every 6-8
For the next 5 days:
ξ Do not lift more than 10 pounds
ξ Do not strain
ξ No vigorous activity
ξ Do not sit in a bathtub, hot tub, or go
into a swimming pool
ξ You will need to take both aspirin
and Plavix® (clopidogrel) every day
for the next 6 months or longer.
ξ For the next 6 months, you will need
to take antibiotics before certain
ξ Your doctor will make the decision if
you are to keep taking these
medicines beyond the 6 months.
ξ If you are not able to pay for these
medicines, tell your nurse or
Keep taking your present medicines as
prescribed. Tell your doctor if you have
any side effects. Do not stop taking aspirin
or Plavix® (clopidogrel) without speaking
with your cardiologist first.
What to Expect
ξ Soreness or tenderness at the site.
This may last for about one week.
ξ Small amount of bloody drainage at
the site for a day or two.
ξ There may be a bruise at the site.
This could take 2-3 weeks to go
ξ A small lump (dime to quarter size)
may form at the site. This could last
up to 6 weeks.
When to Call
Call the doctor the same day if:
ξ You have any signs of infection
ξ You have severe pain at or near the
site or in your back or belly
ξ You have chest pain or increased
shortness of breath
Call 911 for emergency help if:
ξ You have bleeding or sudden
swelling at the site.
ξ Apply direct pressure to the site and
call for 911. Continue to hold
pressure until help arrives.
ξ If your leg becomes numb, cold, or
turns blue or you have severe pain.
Who to Call
ξ UW Cardiovascular Medicine Clinic:
ξ Monday to Friday call (608) 263-
ξ After hours, nights, weekends, and
holidays, the paging operator will
answer this number. Ask for the
Cardiology doctor on call. Give the
operator your full name and phone
number with the area code. The
doctor will call you back.
ξ If you live out of the area, call
Return to Work
You may return to work on
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911.Copyright © 10/2017 University of Wisconsin Hospital and
Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7226