Doctor insights on:
Closure Of Atrial Septal Defect
It depends?: An ASD is simply a hole in the wall between the right and left atria (upper chambers of the heart) many, most can be closed in the cath lab by a pediatric interventional cardiologist or an adult cardiologist trained in structural heart disease. There are two fda approved devices (amplatzer septal occluded and the gore helex septal occluded). Some holes need to be closed by an open heart surgery. ...Read moreSee 1 more doctor answer
I'm 34 & have a small/moderate atrial septal defect. Do these defects always get worse over time? My doc says my defect is "borderline" for closure.
Worrisome finding: As a pediatrician i try to make sure i identify these early & most will be repaired by school age. A local associates wife had a mild stroke from a clot that slipped through one at 38, so i'm sensitive to the issue. Small defects can often be closed through a catheter with a special umbrella like device & i would wonder why you've not had this done already. ...Read moreSee 2 more doctor answers
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
I recieved a amplatzer closure device in my heart when I was 28. I had a atrial septal defect. Will this ever have to be replaced or any type of maintenance?
No / Yes: The device will not have to be replaced. But everyone born with structural heart disease should visit a cardiologist trained in adult congenital heart disease. The doc can determine the frequency of follow-up, but you should go (some space it out to every 5 years for cases like yours). You need to be monitored for abnormal heart beats as well as heart function. ...Read moreSee 2 more doctor answers
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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