A secundum ASD is a hole in the middle of the septum. The hole lets blood flow from one side of the atria to the other. The direction depends on how much pressure is in the atria.

What is a secundum defect?

Secundum atrial septal defect (ASDII) is a common congenital heart defect that causes shunting of blood between the systemic and pulmonary circulations. Patients with an isolated ASDII often remain asymptomatic during childhood and adolescence.

What size ASD requires surgery?

Larger ASDs (8 to 10 mm), often do not close and may need a procedure. Important factors include the size of the defect, the amount of extra blood flowing through the opening, the size of the right side of the heart, and whether the person has any symptoms.

What is the difference between primum and secundum ASD?

ASDs are classified by their different location and development: Secundum ASD occurs in the middle part of the atrial septum. Primum ASD occurs in the lower part of the atrial septum close to the tricuspid and mitral valves.

What is a large secundum ASD?

An ostium secundum atrial septal defect is a type of congenital heart defect called an atrial septal defect (ASD). An ASD is a hole in the wall (septum) between the two upper chambers of the heart (the atria). ASDs can be classified by location. An ostium secundum ASD is a hole in the center of the atrial septum.

How long does it take for ASD to close?

In some children, an ASD may close on its own without treatment. With a small atrial septal defect, the rate of spontaneous closure may be as high as 80 percent in the first 18 months of life. An ASD still present by 3 years of age will probably never close on its own.

What are the 3 types of ASD?

There are three common types of atrial septal defect (ASD): Ostium Secundum – located in the center of the atrial septum (most common type) Ostium Primum – located near the lower portion of the atrial septum, may be associated with defects in the mitral and tricuspid valve (second most common type)

Is an ASD considered heart disease?

An atrial septal defect is one type of congenital heart defect. Congenital means present at birth. As a baby’s heart develops during pregnancy, there are normally several openings in the wall dividing the upper chambers of the heart (atria).

What is ASD secundum?

ASD secundum is a congenital anomaly of fetal development characterized by a defect in the septum primum of atrial septum. It is the most common form of atrial septal defect. The cause is a failure of closure of the ostium secundum and the result is a persistent communication between the right and left circulations at atrial level.

What is an ostium secundum atrial septal defect (ASD)?

An ostium secundum atrial septal defect is a type of congenital heart defect called an atrial septal defect (ASD).

What are the possible complications of an uncorrected secundum ASD?

Complications of an uncorrected secundum ASD include pulmonary hypertension, right-sided congestive heart failure . While pulmonary hypertension is unusual before 20 years of age, it is seen in 50% of individuals above the age of 40. Progression to Eisenmenger’s syndrome occurs in 5 to 10% of individuals late in the disease process.

What is an ASD hole in the septum?

An ASD is a hole in the wall (septum) between the two upper chambers of the heart (the atria). ASDs can be classified by location. An ostium secundum ASD is a hole in the center of the atrial septum.