Atrial Septal Defect (ASD) Closure

Atrial Septal Defect (ASD) Closure

ASD stands for Atrial Septal Defect and it is also referred to as a septal patent foramen ovale or a unfix defect. In this type of patent ductus arteriosis, the gap in the atrial septum is larger and the defect is not located to the right of the right pulmonary artery while to the left of the left pulmonary artery as in the case with patent ductus arteriosis. ASD is closed during surgery

An atrial septal defect, commonly referred to as ASD, is a condition which occurs before birth in the heart when there is a hole in the wall that separates the two right chambers of the heart. Although it is possible that some minor defects will never become a problem and are able to spontaneously close during infancy or early childhood, large ASDs and long-standing ASDs have many potential complications, including heart failure and pulmonary hypertension. In order to avoid such complications surgery may be necessary.

 There are also babies who might not have any signs or symptoms of having an ASD. Presently, symptoms of the condition can develop in adults at the age of 30 although they can occur much later in life. Common symptoms include:

  • Breathlessness, more specifically exercised-induced breathlessness
  • Fatigue
  • Leg and/or foot or lower abdominal enlargement
  • Palpitations or extrasystoles,MouseEvent: Other ERRs
  • Stroke
  • Heart murmur, a whooshing sound, and that, when the doctor puts the stethoscope on the chest.
Symptoms Collapse Symptoms

 If you or your child experience any of the following symptoms, it’s important to consult a doctor:

  • Shortness of breath
  • Fatigue, both exertional and general or to say after becoming easily tired, especially following work and starch activities
  • Oedema of the limbs or of the lower extremities or oedema of the abdomen
  • This is occasionally accompanied by palpitations of the heart or experiencing what we often refer to as ‘heart skips a beat’
When to Go for a Medical Check-up Collapse When to Go for a Medical Check-up

 The heart has four compartments, which means two right sided and two left sided, the right side send blood to the lungs and the left side sends it to the body. In an ASD, you have a situation that the oxygenated blood from the left atrium is dumped in the right atrium where it mixes with oxygentrated blood from the right ventricle circulating in the pulmonary circulation causing over circulation of the pulmonary circulation. This leads to the enlargement and subsequent weakening of the right side of the heart as well as increase in pulmonary arterial pressure and pulmonary hypertension.

Causes Collapse Causes

 A doctor may identify the possibility of an ASD during a routine physical examination if he or she can hear a heart murmur. Several tests can confirm the diagnosis:

  • Echocardiogram: The most widely known test that is done with the help of sound waves which builds a video picture of the heart.
  • Chest X-ray: Used in the evaluation of condition of the heart and lungs.
  • Electrocardiogram (ECG): It checks the rhythm of the heart through records of electrical activity.
  • Cardiac catheterization: Involves passing of a catheter in order to locate such problems with the heart as patent ductus arteriosis and to determine pulmonary artery blood pressure.
  • Magnetic Resonance Imaging (MRI): Called Cardiac MRI, this processes utilizes magnetic fields and radio waves to form pictures of the heart in three dimensions.
  • Computerized Tomography (CT) Scan: It offers pictures of the heart using X-rays in great detail.
Diagnosis Collapse Diagnosis

 Most ASDs resolve spontaneously during childhood On this basis, Bemporad and coworkers showed that many ASDs close during childhood. However, persistent ASDs may require treatment:

 

  • Medical Monitoring: In some cases of children, the doctors may refer the child to put under observation with the intention of waiting for the ASD to close on its own.
  • Medications: As for the medications, though they cannot sew the hole, they can successfully cure the symptoms or exclude the appearance of additional complications after the surgery. Some of the medications to serve such functions may be beta-blockers as in managing heart rate or anticoagulants in instance of clot formation.
  • Surgery: Children with medium to large ASDs are advised to undergo surgery as do adults who developed complications from unrepaired ASDs when young. Major surgery should not be performed if the patient has pulmonary hypertension of significant degree.
Treatment Collapse Treatment

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