Atrial Septal Defect

Edlira Yzeiraj, DO, MS and Edward A. Gotfried, DO, FACOS Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Anatomy

    • ▪ Opening in the atrial septum allowing flow of blood between the two atria
    • ▪ Patent foramen ovale is also an open communication between the atria, but it is not considered an ...

DIAGNOSIS

HISTORY

  • Most ASDs are small and do not cause symptoms in infancy and childhood and are often found on routine physical examination when a cardiac murmur is detected incidentally.

  • Infants with ...

TREATMENT

GENERAL MEASURES

  • 75% of small secundum ASDs (≪8 mm) will close spontaneously by 18 months of age; however, close follow-up is warranted 2.

  • The likelihood of spontaneous closure is mainly deter...

REFERENCES

Warnes  CA, Williams  RG, Bashore  TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American He...

ADDITIONAL READING

Geva T, Martins JD, Wald RM. Atrial septal defects. Lancet.  2014;383(9932):1921–1932.  

SEE ALSO

Aortic Valvular Stenosis; Coarctation of the Aorta; Patent Ductus Arteriosus; Pulmonary Valve Stenosis; Tetralogy of Fallot; Ventricular Septal Defect 

CODES

ICD10

  • Q21.1 Atrial septal defect

  • Q21.2 Atrioventricular septal defect

ICD9

  • 745.5 Ostium secundum type atrial septal defect

  • 745.6 Ostium primum defect

  • 745.8 Other bulbus cordis anomalies and anomalies ...

CLINICAL PEARLS

  • ASD is often missed due to subtle clinical presentation.

  • Ideally, hemodynamically significant ASDs should be closed in early childhood, although some benefit from closure is present in ...

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