What options for getting an atrial septal defect repaired in an adult?

Catheter or knife: It can be repaired percutaneously through a catheter inserted through the leg or arm or by open surgery.

Which Type?: Sinus venosus ASD requires surgical correction. Although rare a ostium primum ASD may have escaped diagnosis in a young adult and that also requires surgical closure. A small ostium secundum ASD might be able to be closed with a clamshell device as well as a patent foramen ovale. Large secundum ASD still surgical closure is the treatment. Other conditions like unroofed coronary sinus and papvr r/o.

Cath or surgery: A lot of asd's can be closed by trans catheter approach. Occasionally (if thery are so large with no rims) need cardiac surgery.