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[Atrial septal defect in adults--opinions, procedures and controversies]
1Klinika Chorób Serca i Naczyń Instytutu Kardiologii Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie KSS im. Jana Pawła II.
Insights
Atrial septal defect (ASD) is a common congenital heart defect in adults over 40. Improved understanding and transcatheter closure offer better treatment options for adult ASD patients.
Area of Science:
- Cardiology
- Adult Congenital Heart Disease
- Cardiac Malformations
Context:
- Atrial septal defect (ASD) represents a significant portion of adult congenital heart disease.
- It is the third most common congenital cardiac malformation in adults, following bicuspid aortic valve and mitral valve prolapse.
- This condition is frequently diagnosed in adults over the age of 40.
Purpose:
- To review the current understanding of the pathological role of ASD in adults.
- To discuss existing controversies surrounding the treatment of adult ASD.
- To highlight potential advancements in ASD management.
Summary:
- ASD is a prevalent congenital heart issue in adults, often identified later in life.
- The review covers the disease's impact on adult physiology and treatment debates.
- Advances in diagnosing ASD and transcatheter closure techniques are noted.
Impact:
- Enhanced comprehension of ASD pathophysiology is anticipated to refine treatment strategies.
- Improved diagnostic tools will aid in earlier and more accurate detection.
- Transcatheter closure presents a less invasive option, potentially improving patient outcomes for atrial septal defects.
Abstract:
Atrial septal defect (ASD) accounts for 30-40% of congenital heart disease in adults diagnosed after the age of 40 and is after bicuspid aortic valve and mitral-valve prolaps the most common congenital cardiac malformation in adults. We have discussed current views on the pathological role of ASD in adults and controversies regarding its treatment. It is expected that increasing understanding of ASD pathophysiology, improved diagnostic methods and the possibility of transcatheter closure of interatrial defects will improve the treatment of patients with ASD.