Atrial septal defect ostium secundum: Difference between revisions

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Latest revision as of 02:10, 15 March 2016

For full discussion on atrial septal defects click here.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [3]

Overview

Anatomy

Pathophysiology

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

Treatment

Medical Therapy | Indications for Surgical Repair | Surgical Closure | Percutaneous Closure

Case Studies

Case #1

Template:WH Template:WS CME Category::Cardiology

@@ Line 1: / Line 1: @@
-{{Atrial septal defect}}
+__NOTOC__
-{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [[mailto:psingh@perfuse.org]]; {{CZ}}'''; Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]]
+{{Atrial septal defect ostium secundum}}
+'''For full discussion on atrial septal defects click [[atrial septal defect|here]].'''
-==Overview==
+{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com];  '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
-During fetal development, the septal wall may fail to fuse causing an atrial septal defect to arise. An ostium secundum atrial septal defect is one such type of malformation arising from the irregular development of the foramen ovale, septum secundum or septum primum. It is the most common type of atrial septal defect.
-==Ostium Secundum Atrial Septal Defect==
+==[[Atrial septal defect ostium secundum overview|Overview]]==
-[[Image:Gray467.png|left|450px|Interior of dorsal half of [[heart]] of human [[embryo]] of about thirty-five days. (Septum secundum visible at center top.)]]
+==[[Atrial septal defect ostium secundum anatomy|Anatomy]]==
-[[Image:Gray468.png|center|400px|Same heart as above, opened on right side. (Septum secundum visible in dark area at center top.)]]
+==[[Atrial septal defect ostium secundum pathophysiology|Pathophysiology]]==
+==[[Atrial septal defect ostium secundum epidemiology and demographics|Epidemiology and Demographics]]==
-* The '''septum secundum''' is '''semilunar''' in shape. It grows downward from the upper wall of the [[Atrium (heart)|atrium]] immediately to the right of the [[primary septum]] and [[foramen ovale]]. Shortly after birth it fuses with the [[primary septum]], and by this means the [[foramen ovale]] is closed, but sometimes the fusion is incomplete and the upper part of the foramen remains patent. The [[limbus fossae ovalis]] denotes the free margin of the septum secundum. The ostium secundum (or foramen secundum) is a foramen in the [[septum primum]]. It should not be confused with the [[Foramen ovale (heart)|foramen ovale]], which is a foramen in the [[septum secundum]]. It can arises from an '''enlarged foramen ovale''', '''inadequate growth of the septum secundum''', or '''excessive absorption of the septum.
+==[[Atrial septal defect ostium secundum natural history|Natural History, Complications and Prognosis]]==
-* Most individuals with an uncorrected secundum ASD don't have significant symptoms through early adulthood. About '''70% develop symptoms by the time they are in their 40s'''.
-* Many a times they occur sporadically. However, they have been found to occur with increased incidences in some genetic disorders like, the '''[[Holt-Oram (heart-hand) syndrome]]''', '''[[Down’s syndrome]]''', '''[[Noonan syndrome]]''','''[[Treacher Collins syndrome]]''', and the '''[[thrombocytopenia-absent radii (TAR) syndrome]]'''.
-* '''10 to 20 %'''of individuals with ostium secundum ASDs also have [[mitral valve prolapse]] .<!----><ref>{{cite journal | author = Leachman R, Cokkinos D, Cooley D | title = Association of ostium secundum atrial septal defects with mitral valve prolapse. | journal = Am J Cardiol | volume = 38 | issue = 2 | pages = 167-9 | year = 1976 | id = PMID 952260}}</ref>
-* It is the '''commonest''' type of [[atrial septal defect]].
-* It accounts '''60%-70%''' of all [[atrial septal defect]]s.
-* It comprises '''6-10%''' of all [[congenital heart disease]]s.
-==[[Atrial septal defect echocardiography ostium secundum|Echocardiography and Ostium Secundum Defects]]==
+==[[Atrial septal defect ostium secundum diagnosis | Diagnosis]]==
-==[[Atrial septal defect surgical repair|Video showing surgical repair of septum secundum]]==
+[[Atrial septal defect ostium secundum history and symptoms|History and Symptoms]] | [[Atrial septal defect ostium secundum physical examination|Physical Examination]] | [[Atrial septal defect ostium secundum chest x ray|Chest X Ray]] | [[Atrial septal defect ostium secundum electrocardiogram|Electrocardigram]] | [[Atrial septal defect ostium secundum echocardiography|Echocardiography]] | [[Atrial septal defect ostium secundum other diagnostic studies|Other Diagnostic Studies]]
-==References==
+==[[Atrial septal defect ostium secundum treatment |Treatment]]==
-{{reflist|2}}
+[[Atrial septal defect ostium secundum medical therapy|Medical Therapy]] | [[Atrial septal defect ostium secundum indications for surgical repair| Indications for Surgical Repair]] |  [[Atrial septal defect ostium secundum surgical closure | Surgical Closure]] | [[Atrial septal defect ostium secundum percutaneous closure|Percutaneous Closure]]
+==Case Studies==
+[[Atrial septal defect ostium secundum case study one|Case #1]]
+{{WH}}
+{{WS}}
+[[CME Category::Cardiology]]
 [[Category:Cardiology]]
 [[Category:Congenital heart disease]]
 [[Category:Pediatrics]]
-[[Category:Mature chapter]]
+[[Category:Embryology]]
+[[Category:Disease]]
-{{WH}}
-{{WS}}