Atrial Septal Defect treatment in Delhi

This is a congenital heart disease (CHD), meaning that hole is present at birth.

ASD is a hole in the heart that is situated in the wall (inter-atrial septum) those separates two upper chambers of the heart known as left and right atriums (LA & RA).

Types of Atrial Septal Defect (ASDs)

There are 4 types of atrial septal defect.

• Ostium Secundum atrial septal defect (OS-ASD): Most common type of ASDs. It is located in the middle of interatrial septum.
• Ostium primum defect: This occurs in the lower part of the inter-atrial septum, and can be associated with mitral valve abnormalities and other CHDs.
• Sinus venosus defect in inter-atrial septum (superior vena cava {SVC} & inferior vena cava {IVC} types): This is a rare defect and occures in the upper or lower parts of the interatrial septum.
• Coronary sinus type of defect of ASD: This is very rare variety.

Atrial septal defect can be small, moderate and large in size.

Most of the small defects (up to 8 mm in size) close spontaneously in 80-85% of the children.

Sizes more than 8 mm generally do not close spontaneously and needs to follow-up at regular intervals.

Large ASD leads to increase flow of blood to right sided heart chambers and to the both lungs. In long standing cases, it can lead to increase in lung pressures, abnormal heart beats etc.

Atrial Septal Defect Symptoms

As most of the children are asymptomatic (having no symptoms), atrial septal defect can be easily missed in early childhood and even in adults.
In adults, symptoms can start around age of 25-30, but it is not always there.
If at all, symptoms are there, it can be:

• Difficulty in breathing on exertion
• East tiredness
• Heart beats abnormalities
• Paradoxical embolism leading to brain strike in late stages if not treated on time
• Cardiac murmur on examination (atrial septal defect murmur)
• Right heart failure leading to swelling all over the body

Atrial Septal Defect treatment in Delhi