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A large congenital atrial septal defect in an adult with delayed therapy

Xia Xie1,2, Mi Tang1, Asher Kahn-Krell3

  • 1Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.

The Journal of International Medical Research
|March 15, 2021
PubMed

Insights

A large congenital atrial septal defect (ASD) in a 20-year-old man was successfully repaired surgically. Patient education on congenital heart defects is crucial, especially in developing nations, to prevent adult complications.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Surgical Intervention

Background:

  • Congenital atrial septal defects (ASDs) are typically repaired in early childhood.
  • Delayed diagnosis and treatment of ASDs can lead to significant adult complications.
  • Patient understanding of medical science and clinical advice impacts adherence to treatment recommendations.

Observation:

  • A rare case of a large congenital ASD (67-mm ostium secundum defect) presented in a 20-year-old male.
  • The patient exhibited moderate mitral and tricuspid regurgitation.
  • The defect was repaired via transthoracic surgery, including mitral and tricuspid valvuloplasty.

Findings:

  • Successful surgical repair of a large congenital ASD in a young adult.
  • Correction of associated moderate mitral and tricuspid regurgitation.
  • Demonstration of feasibility of surgical intervention for late-presenting ASDs.

Implications:

  • Highlights the critical need for patient education regarding congenital malformations, particularly in underserved regions.
  • Underscores the importance of timely intervention for ASDs to prevent long-term sequelae.
  • Suggests that surgical repair is a viable option for large ASDs presenting in adulthood.

Keywords:
Congenital heart diseaseadultatrial septal defecteducationostium secundumsurgery

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