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Updated: Jun 23, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Clinical Presentation and Therapy of Atrial Septal Defect
Nikolaus A Haas1, David J Driscoll2, Silke Rickert-Sperling3
1Department of Pediatric Cardiology and Intensive Care, Ludwig Maximilians University, Munich, Germany. Nikolaus.haas@med.uni-muenchen.de.
Atrial septal defects (ASDs) are common congenital heart defects, affecting 1 in 1500 births, with twice as many females affected. These defects are classified into five types based on their embryological origin.
Area of Science:
- Cardiology
- Developmental Biology
- Pediatrics
Background:
- Atrial septal defects (ASDs) represent a significant portion of congenital heart defects, accounting for 6-10%.
- The incidence of ASDs is approximately 1 in 1500 live births.
- A notable female predominance exists, with a 2:1 female-to-male ratio.
Purpose of the Study:
- To outline the classification of Atrial Septal Defects (ASDs).
- To categorize ASDs based on their embryological origins.
Main Methods:
- Review of embryological development related to the atrial septum.
- Classification of Atrial Septal Defects based on developmental origins.
Main Results:
- Identification of five distinct types of Atrial Septal Defects.
- Correlation of ASD types with specific embryological developmental pathways.
Conclusions:
- The embryological origin provides a framework for classifying the five types of ASDs.
- Understanding the embryological basis is crucial for characterizing different ASDs.
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