Doctor insights on:
Atrial Septal Defect Adults
Atrial Septal Defect surgery for adults, how common is it? And what are the possible complications from this surgery?
Intervention or open: Less common today as most now diagnosed in infants. Many now repairable using catheter based techniques but if large still best fixed open. Slight risk of stroke and damage to conduction system but one of the safer open operations. Consider a center that does both pediatric and adult surgery to have the most expertise in either type of procedure. ...Read more
In an adult, what size (in mm or cm) differentiates a small, medium, and large unrepaired atrial septal defect?
ASD: These are really arbitrary, subjective terms, but i think of small as less than 8mm, medium as 8-16mm and large as greater than 16mm. However, the bottom line as to whether or not an ASD needs to get closed by catheter-based device or surgery hinges on whether the right side of the heart (right atrium and right ventricle) are enlarged. ...Read moreSee 1 more doctor answer
Not sure: About 1 in 4 people have a pfo, a patent foramen ovale, or small opening between the atria. In most people, this is not significant, but in some it can result in tias - transient ischemic attacks - or even strokes and must be treated medically or surgically. ...Read moreSee 1 more doctor answer
I have an 11mm unrepaired atrial septal defect. It has grown larger since it was discovered in 2011. Do asds ever shrink?
Two choices: Depending upon the characteristics of the defect; there are 2 ways to close an atrial septal defect. The traditional approach has been surgery with a success rate of nearly 100%; however there is a risk of arrhythmia and effusion. More recently, catheter delivered closure devices have been used for select patients.. The overall success rate is about 98% and the risk of complications is lower. ...Read moreSee 1 more doctor answer
See a cardiologist: There are some potential problems for anyone with an ASD in adulthood & hopefully you have access to a cardiologist. Small defects can often be closed today thru a catheter by an interventional cardiologist. Disorders in heart rhythm and or other problems may need attention. Call your pcp discuss your options. ...Read moreSee 2 more doctor answers
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