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CASE REPORT
Year : 2014  |  Volume : 27  |  Issue : 1  |  Page : 145-151

Atrial septal defects: clinical presentation and recent approach in its diagnosis and treatment


Cardiology Department, Faculty of Medicine, National Heart Institute, Menoufia University, Giza, Egypt

Correspondence Address:
Mohammed A Alrefaey Atwa
MB BCh, Albakashine, Kafr Shoukr, Alkalubia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.132788

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Objective This study aimed to review the atrial septal defects (ASDs), describing their types, presentations, and different lines of management. Data summary ASDs are the second most common congenital lesion in adults (after bicuspid aortic valves). They represent ∼7% of all cardiac anomalies. Transcatheter closure of a secundum ASD is now widely accepted as an alternative to surgical closure. With currently available devices and techniques, ∼80-90% of secundum ASDs can be closed percutaneously. In this review, we summarize the literatures of ASD in terms of its closure. Conclusion Closure of secundum ASD percutaneously has become the standard of care in pediatric and adult patients. Patients of all ages experience reduction in pulmonary artery pressure and right ventricular size, and an improvement in functional capacity after percutaneous device closure of ASD, and these improvements appear to be greater if the defect is closed earlier.


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