Question: How Serious Is Atrial Septal Defect?

What size ASD requires surgery?

The best ASD for transcatheter closure is centrally located in the septum with a >5-mm rim of septal tissue and is situated >5 mm from the atrioventricular valves, the coronary sinus, and the pulmonary veins..

What happens if ASD is not treated?

A large atrial septal defect can cause extra blood to overfill the lungs and overwork the right side of the heart. If not treated, the right side of the heart eventually enlarges and weakens. The blood pressure in your lungs can also increase, leading to pulmonary hypertension.

Can you live a long life with a hole in your heart?

Living With Holes in the Heart. The outlook for children who have atrial septal defects (ASDs) or ventricular septal defects (VSDs) is excellent. Advances in treatment allow most children who have these heart defects to live normal, active, and productive lives with no decrease in lifespan.

Is atrial septal defect hereditary?

Inheritance. Most atrial septal defects (ASDs) occur sporadically (by chance), though familial transmission has also been reported. Some cases appear to have autosomal dominant inheritance. Some genetic syndromes with skeletal abnormalities associated with ASD also have autosomal dominant inheritance.

Can atrial septal defect be cured?

Open-heart surgery. This procedure is the only way to repair primum, sinus venosus and coronary sinus atrial defects. This procedure can be done using small incisions (minimally invasive surgery) and with a robot for some types of atrial septal defects.

How serious is ASD?

In children with a large ASD, the main risk is to the blood vessels in the lungs because more blood than normal is being pumped there. Over time, usually many years, this may cause permanent damage to the lung blood vessels.

Is ASD closure safe?

Safe and effective closure is achieved in at least 80% of the unselected ASD population. Complex ASD, which is usually defined as defects >38 mm in diameter and/or deficient rims other than antero-superior, are often not considered amenable to transcatheter closure and referred for surgery (3).

Can ASD cause a stroke?

Cardioembolic strokes associated with ASD principally occur with 2 mechanisms. The first is paradoxic embolism involving a venous-based source of thrombus, which may subsequently pass through the ASD by right-to-left shunting, causing a cardioembolic stroke.

Is atrial septal defect a disability?

“Symptomatic congenital heart disease,” Listing 4.06, is one of the qualifying conditions encompassed by the listings. If you meet or equal the criteria of a listing, you will be automatically approved for disability.

Is atrial septal defect a heart disease?

An atrial septal defect is one type of congenital heart defect. Congenital means present at birth. As a baby’s heart develops during pregnancy, there are normally several openings in the wall dividing the upper chambers of the heart (atria). These usually close during pregnancy or shortly after birth.

Why is atrial septal defect bad?

In most children, atrial septal defects cause no symptoms. A very large defect may allow so much blood flow through it to cause congestive heart failure symptoms such as shortness of breath, easy fatigability, or poor growth, but this is uncommon.

How long does ASD surgery take?

The repair will take about 2 hours. The healthcare provider will insert a small, flexible tube (catheter) into an artery in the groin. This tube will have a small device inside it. The healthcare provider will thread the tube through the blood vessel all the way to the atrial septum.

What can I expect after ASD closure?

ASD Closure: Postoperative Details Pain is likely, and pain medication is given as appropriate. Patients also are on a respirator and have a breathing tube for the first few hours after surgery. The length of the hospital stay depends on how quickly a patient recovers and can perform some physical activity.

When should ASD be repaired?

Up to 40% of secundum ASDs close on their own by adulthood. If the ASD remains but is small, closure is usually not recommended. However, if you develop symptoms such as fatigue, difficulty breathing, stroke, atrial fibrillation, or PH, or if your right ventricle becomes enlarged, repair may be considered.

Can ASD cause heart attack?

Concerns and Symptoms Emboli that block the coronary artery can cause a heart attack. Because an ASD causes the heart and lungs to handle more blood than normal, the pressure in the lung’s blood vessels also can increase, a condition called pulmonary hypertension.