Doctor insights on:
Atrial Septal Defect Closure In Adults
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
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
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
Not usually: An ASD does not generally affect oxygen delivery to the brain (or the rest of the body). The only exception would be in the setting of severe pulmonary artery hypertension in which low oxygenated blood can flow from the right atrium into the left atrium and be pumped to the body. ...Read more
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
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
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
Atrial septal defect: An atrial septel defect is a hole or opening in the tissue that separates the left and right atrium. They are classified by location and named primum, secundum or patent foramen ovale. They can be observed or in some cases treated surgically to close them. ...Read more
ASD: ASD is a congenital (present since birth) heart defect in which the wall that separates the 2 upper chambers (atria) is perforated allowing the abnormal mixing of oxygenated and un-oxygenated blood. If large enough, it can lead to rhythm disturbances and heart failure but if small, no treatment is necessary. Echo and MRI are very accurate in assessing the severity. It is correctable/curable. ...Read more
ASD: An ASD is a common type of congenital heart defect characterized by a hole in the wall between the top chambers (atria) of the heart. It allows blood returning from the lungs to the left atrium to pass into the right atrium. Rarely causes symptoms during childhood. Treatment depends on the size of the defect and the age at diagnosis. ...Read more
It depends: Atrial septal defects (asd's)can vary in size and location. The small asd's can be without symptoms and can go undiscovered for many years. Other symptoms include shortness of breath, fatigue, abnormal rhythms, heart failure and low oxygen levels. Strokes can occur from small clots in leg veins crossing to left side and going to brain. Some reports that migraine headaches are caused by asd's. ...Read more
Cardiologist: Depends on the size, location and child's age. Many small asds can close on their own while others require catheterization or open heart surgery. Your cardiologist can best guide your treatment options/plan. ...Read more
Treatable: The importance of an ASD depends on the location in the septum and on the size of the asd. Small asds may cause no problems. Larger asds may require treatment. The most common ASD is an ostium secundum asd. Often, this can be treated by implanting a device in the ASD by catheter, sealing the hole. If the ASD is very large, or other than a secundum defect, surgery may be necessary. ...Read more
Multiple genes: The information needed to code for normal formation of the heart travels in many genes. There is a linkage to other forms of congenital heard defect. Someone with an ASD will have a 4% risk of having a kid with some form of chd, not necessarily the same one. ...Read more
Confusing question: If you had a problem and got it fixed, what is your concern? Most would expect you to followup with your physician periodically, but beyond that, the intent of your question is elusive. If you can define it better, reword it and submit a new question to the site. ...Read more
Hole in wall: You have 2 upper chambers in the heart & 2 lower. An atrial septal defect is a hole in the wall between the upper chambers. It is under less pressure than the lower chambers so it often causes no obvious problems early on. Most are closed using various methods before school age. ...Read more
Yes: The first successful open heart procedure done on cardiopulmonary bypass was an atrial septal defect repair done by john gibbon in philadelphia in 1953. It is a procedure which has been done for the last 60 years with excellent results. The first atrial septal defect repairs were done off pump with various techniques, including inflow occlusion and hypothermia with circulatory arrest. ...Read more
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 more
Often none: Even patients with large asds often have no symptoms until later in life. Some young children with large asds get respiratory infections more commonly. As patients age, they can have symptoms of right heart failure (decreased energy, large liver, swollen ankles), rhythm abnormalities or cyanosis (turning blue from not enough blood getting to the lungs). We try to treat asds before symptoms develop. ...Read more
Possibly: While there are some reports of familial clusters, generally it is a congenital condition affecting caused by a developmental defect. ...Read more
Yes (in a sense): We are only just beginning to understand the genetics of congenital heart disease (chd). There are some specific genetic syndrome associated with asds. In addition, simply having an ASD does impart an increased risk--though small--of having children with chd. So yes, having chd is heritable, but in a multifactorial way (i.e. Not a single gene defect in many cases). ...Read more
If your grandparents, or parents did not have ASD it is unlikely.
Asds have a natural non genetic occurrence. ...Read more
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