Skip to main content

Atrial Septal Defect

Reviewed 06/2018
 


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 AS...

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 ...

REFERENCES

1
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 Heart...

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 ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×