Atrial Septal Defect

Elisa A Bradley1, Ali N Zaidi2

  • 1Department of Internal Medicine, Division of Cardiovascular Medicine, The Ohio State University, Columbus, OH, USA.

Cardiology Clinics
|July 6, 2020
PubMed

Insights

Atrial septal defects are common congenital heart conditions. While small defects may close naturally, larger ones often require intervention to prevent serious heart complications.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Atrial septal defects (ASDs) are frequent congenital heart anomalies.
  • They involve incomplete tissue formation in the interatrial septum.
  • Unrepaired ASDs can lead to right heart overload, arrhythmias, and pulmonary hypertension.

Purpose of the Study:

  • To summarize the characteristics, diagnosis, and management of atrial septal defects.
  • To outline the different types and clinical presentations of ASDs.

Main Methods:

  • Review of common congenital heart defects.
  • Description of physical findings and diagnostic considerations for ASDs.
  • Discussion of treatment options and contraindications.

Main Results:

  • Three main types of ASDs exist: ostium secundum, ostium primum, and sinus venosus.
  • Key physical findings include a midsystolic pulmonary murmur and fixed split S2.
  • Spontaneous closure occurs in small defects; larger ones necessitate intervention.

Conclusions:

  • ASDs range from asymptomatic to hemodynamically significant conditions.
  • Management depends on defect size and clinical impact.
  • Severe pulmonary arterial hypertension contraindicates defect closure.

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