Atrial Septal Defect
- PMID: 30571061
- Bookshelf ID: NBK535440
Atrial Septal Defect
Excerpt
Atrial septal defect (ASD) is one of the most common types of congenital heart defects, affecting about 25% of children (see Image. Atrial Septal Defect). An ASD occurs when the communication between the right and left atria persists after birth. The condition involves defects in the true septal membrane and other abnormalities that enable communication between the atria. From most to least frequent, the 5 types of ASD are the patent foramen ovale (PFO) and the ostium secundum, ostium primum, sinus venosus, and coronary sinus defects. Small ASDs often close spontaneously during childhood. Larger defects that fail to close may require percutaneous or surgical intervention to prevent complications such as stroke, dysrhythmias, and pulmonary hypertension.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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    - Meissner I, Whisnant JP, Khandheria BK, Spittell PC, O'Fallon WM, Pascoe RD, Enriquez-Sarano M, Seward JB, Covalt JL, Sicks JD, Wiebers DO. Prevalence of potential risk factors for stroke assessed by transesophageal echocardiography and carotid ultrasonography: the SPARC study. Stroke Prevention: Assessment of Risk in a Community. Mayo Clin Proc. 1999 Sep;74(9):862-9. - PubMed
 
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    - Celermajer DS. Atrial septal defects: even simple congenital heart diseases can be complicated. Eur Heart J. 2018 Mar 21;39(12):999-1001. - PubMed
 
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