Doctor insights on:
Please be specific: When asking questions on the site please avoid using initials or labels that may have several interpretations. ASD could relate to a heart defect or autistic spectrum disorder as an example & the answer would differ significantly.Though ds patients can have the heart defect, autism spectrum label would be considered inappropriate for a ds patient even though some of the symptom features overlap. ...Read moreSee 2 more doctor answers
There are two : Traditionally an ASD is closed with a surgical procedure. The hole can be sutured primarily or may require a patch to be sewn over the hole. Current surgical advances include the use of a mini sternotomy resulting in a smaller scar on the chest. Many asds can be closed with a device delivered from the leg through the large veins of the body. The device has a very success rate and leaves no scar. ...Read moreSee 1 more doctor answer
Different anatomy: An ASD involves a defect (a whole) in the wall separating the two atria (upper chambers of the heart). A vsd involves a defect in the wall between the ventricles. Also because the pressures a different are different between the atria and ventricles, communications between the two atria or the ventricles have significant clinical differences. ...Read more
Yes and no: Although tecnically possible, i would not recommend any type of surgery with a risk of infection with cardiac surgery or intervention, especially if a forein material like an ASD device or patch is used. I would recommend to have them done seperately with a 6 months interval. ...Read more
Unlikely: At that size they might watch it for a while in infancy to give it a chance. Yet, chances of it doing so are remote. Most would want it fixed prior to school age using a double mushroom device that could be inserted thru a catheter or occasionally by direct surgical repair.. ...Read moreSee 1 more doctor answer
Yes: An ASD with a pulmonary to systemic flow ratio of greater than 1.5 has a significant likelihood of causing problems as the patient ages. With age BP rises as does the tension inside the left ventricle. The lack of elasticity eventually gets transferred to the right side with increasing pressures in the pulmonary circuit. Once pulmonary resistance rises to systemic levels it is too late. ...Read moreSee 3 more doctor answers
Your choice: If it's autistic disorder, it's your right to decide. In our residency program, a bright young intern did not disclose that he had asperger syndrome until faced with dismissal for unusual behaviors that negatively impacted his performance. If he had disclosed in his application, the program may have accepted him as a person with a disability & made accomodations under ada. Weigh your options. ...Read moreSee 1 more doctor answer
I was diagnosed with a 6mm ASD at 18 and am now 20, almost 21. Should I be getting it checked every few years?
Small ASD: You should be checked in follow up to be sure the size has not changed. One data point is less likely to be reliable than more than one. If it is unchanged at a recheck now two years later, then the timing of recheck can be extended. ...Read more
How likely is it for a kid with ASD to regress at age 4? Son has been making huge progress since diagnosis 14 months ago but last few days scare me.
Pervasive Disability: I hate that you are seeing regression the last several days in your child with ASD, keep working hard on social skills training and his therapies, speech, OT, even PT in certain cases. Intensive Social Skills training helps teach your child the behaviors that come natural to the rest of us "neurotypicals". Could he have an emerging illness? Sore throat? Fever? Bad day at school? Earache? ...Read more
Asd yes pfo maybe: Significantly large (meaning that the right heart is enlarged) ASD needs to be closed. Pfo is noted in up to 20 % of the population. It has no relevance. There may be (data is weak) an association of pfo with stroke. Currently the american society of neurology recommends closure only after first recurrence of a stroke. Very controversial topic. ...Read moreSee 1 more doctor answer
Not caused by ASD: Clinodactyly is a common congenital condition that generally requires no treatment. There can be an association of cliniodactyly with down's syndrome, in which atrial septal defects are more common than in the general population. Cliniodactyly occurs to varying degrees in up to 10% of the population and can be inherited. ...Read moreSee 2 more doctor answers