Caring for your child after ASD or 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 pounds.
▪ Do not strain.
▪ No vigorous activity.
▪ Do not soak in a bathtub, or go swimming.
▪ Your child should be able to eat normally the morning after the procedure.
▪ 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 site.
▪ 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
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 medicine
▪ Fever over 101®F for two readings taken 4 hours apart
When and who to call
Call your child’s doctor right away if you notice:
▪ 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 cardiologist first.
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: 608-263-6420
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 back.
If you live out of the area, call 1-800-323-8942.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 06/28/2013
Copyright © 06/28/2013 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7501
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