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Doctor insights on: Atrial Septal Defect Adults

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Atrial Septal Defect surgery for adults, how common is it? And what are the possible complications from this surgery?

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

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

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

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. ...Read more

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How often do adults get diagnosed with an atrial septal defect that wasn't found as a child?

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 more

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In an adult, what size (in mm or cm) differentiates a small, medium, and large unrepaired atrial septal defect?

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 more

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What is an atrial septal defect?

What is an atrial septal defect?

Defect in wall: An ASD is a defect (opening) in the wall (septum) that should form to separate the upper chambers of the heart. ...Read more

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How bad is an atrial septal defect?

How bad is an atrial septal defect?

ASD: It is variable, depending on the size of the opening and the amount of blood traveling across it. Sometimes they are diagnosed in childhood, others are picked up in adults. They are closed if the size is significant either surgically or using catheters. But if they are small they can be followed and monitored with echocardiograms. ...Read more

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What exactly is atrial septal defect?

ASD: An atrial septal defect (ASD) is a communication (hole) in the atrial septum (wall between top two chambers of the heart). It usually results in extra blood flowing through hole from left to right side resulting in eventual enlargement of the right side of the heart. This can take years to decades depending on size of defect. ASD closed with surgery or interventional cardiology (device closure). ...Read more

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I have an atrial septal defect. Advise?

See a cardiologist: This can be serious, as a blood clot from the lower legs can cross the ASD and cause a stroke. ...Read more

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What's it mean to have atrial septal defect?

Depends...: Depends on the size and the amount of blood it is allowing to leak from the left to the right heart chambers which in turn causes strain on the right heart. This can cause shortness of breath and arrhythmias. Patient with medium size defects may not have any problems until their middle age and patients with smaller defects can lead a full healthy life without even knowing it. ...Read more

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