Can a 3-Year-Old Walk After Atrial Septal Defect Surgery?

After atrial septal defect (ASD) surgery, many parents wonder if their 3-year-old child will be able to walk normally. The answer depends on the type of procedure performed and the child's overall recovery progress.

Recovery After Catheter-Based ASD Closure

If the child undergoes a minimally invasive catheter-based closure, they typically need to remain in bed for about 24 hours post-surgery. During this time, movement of both legs is restricted to prevent complications at the femoral vein puncture sites. After this initial period, most children can begin walking and returning to light activities gradually, as tolerated.

Recovery After Open-Chest ASD Repair

In cases where open-heart surgery is required—either through a traditional sternotomy or a less invasive lateral approach—recovery tends to take longer. Due to the larger incision and chest wall trauma, doctors often recommend extended bed rest for several days. Most children can begin to walk short distances within a week or two, but full recovery of strength and mobility may take up to two weeks or more before normal activity levels resume.

Post-Operative Activity Guidelines

Regardless of the surgical method used, it is generally advised to avoid strenuous physical activity for at least one month after ASD repair. Walking around the house or light movement is usually encouraged to promote circulation and prevent complications such as blood clots. However, running, jumping, or engaging in high-energy play should be avoided during the early recovery phase to allow proper healing.

Follow-Up and Long-Term Outlook

About one month after surgery, a follow-up appointment is typically scheduled. During this visit, a pediatric cardiologist will perform tests, including an echocardiogram, to ensure the defect has been successfully closed and that heart function is returning to normal. In most cases, children make a full recovery and can eventually participate in all types of physical activity without restrictions.