Atrial Septal Defect

- Royden Dominic
DSouza

Introduction

Intro
Females

 Common recognized congenital

cardiac anomalies presenting in
adulthood.
Atrial septal defect is characterized
by a defect in the interatrial
septum allowing pulmonary venous
return from the left atrium to pass
directly to the right atrium.

Types
3 Types
Ostium secundum: The most
common
Ostium primum: The second most
common
Patent foramen ovale

Clinical Features

Child tires easily when playing

Fatigue
Rapid breathing
Shortness of breath
Poor growth
Frequent respiratory infections

O/A
S1 Split
Rumbling middiastolic murmur at
the lower left sternal border because
of increased flow across the tricuspid
valve.

Investigations
ECG
Ultrasound
ECHO

Treatment
Surgical Therapy

Criterion standard

Direct closure of the

defect by
using an open
approach.
Median sternotomy incision.

 Transcatheter closure