Caring for your child after Percutaneous Atrial Septal Defect (ASD) or
Patent Foramen Ovale (PFO) closure
Your child had an ASD or PFO closure on _________________ through the
right / left femoral vein
Care of the incision
▪ Your child may shower 24 hours after
the closure. Remove the Band-Aid®
over the site before taking a shower.
▪ Gently clean the site with soap and
water. Pat it dry. Cover the site with a
band aid. Do this for three days.
▪ Keep the site clean and dry.
Activities for the next 5 days
▪ Your child may not lift more than 10
▪ Do not strain.
▪ No vigorous activity.
▪ Do not soak in a bathtub, or go
▪ Your child should be able to eat
normally the morning after the
▪ If feeling well the night of the procedure
your child may eat and drink.
▪ Some children do not feel hungry or may
feel nauseous the night of the procedure.
This is to be expected and will get better.
We suggest a light diet the night of the
procedure if hungry.
What to expect
▪ Soreness or tenderness at the site. This
may last for one week.
▪ Small amount of bloody drainage at the
▪ There may be a bruise at the site. This
could take 2-3 weeks to go away.
▪ A small lump (dime to quarter size) may
form at the site. This could last up to 6
What to do for minor pain
▪ Your child may have either Tylenol
every 4-6 hours or Motrin /Ibuprofen
every 6-8 hours.
Signs and symptoms of infection
▪ Redness, swelling or drainage at the site
▪ Pain that does not go away with pain
▪ Fever over 101 θ F for two readings taken
4 hours apart
When and who to call
Call your child’s doctor right away if you
▪ Bleeding or sudden swelling at the site.
Apply direct pressure to the site and call
for help. Continue to hold pressure until
you get help.
▪ Any signs of infection
▪ Severe pain
▪ Chest pain, palpitations or increased
shortness of breath.
Return to school/daycare
Your child may return to School/Daycare on
Your child will need to take baby aspirin
every day for the next 6 months or longer.
Some children also take Plavix®
(clopidogrel). For the next 6 months, your
child will need to take antibiotics before
certain medical or dental procedures. The
doctor will make the decision if your child
needs to keep taking these medicines after
the 6 months.
Keep taking your present medicines as
prescribed. Tell the doctor if there are any
side effects. Do not stop aspirin or Plavix®
(clopidogrel) without consulting the
Other instructions and follow-up plans
There will be a follow up cardiology visit
with echocardiogram and ECG at 1 and 6
months after the procedure to assess the
device and heart function.
UW/AFCH Pediatric and Adult
Congenital Cardiology Clinic:
After hours, nights, weekends, and holidays,
the paging operator will answer this number.
Ask for the pediatric cardiologist on call.
Leave your name and phone number with
the area code. The doctor will call you
If you live out of the area, call:
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 © 12/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing HF#7501.