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{{Atrial septal defect}}
{{Atrial septal defect}}
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]]; {{CZ}}; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]]


{{CMG}} Claudia Hochberg, M.D.
==Overview==
(ASD) are a group of congenital heart diseases that involve the inter-atrial septum.  The inter-atrial septum is the tissue that separates the right and left atria from each other. This tissue prevents arterial and venous blood from mixing with each other. If there is a defect in this septum, a direct communication between the atria can occur, which allows shunting, resulting in mixing of arterial and venous blood. It is possible for blood to travel from the left side of the heart to the right side of the heart, or vice versa.
 
==Epidemiology and demographics==
 
Atrial septal defect are common heart defects and comprises approximately 7% of all the congenital heart disorders. <ref name="pmid5128021">{{cite journal| author=Feldt RH, Avasthey P, Yoshimasu F, Kurland LT, Titus JL| title=Incidence of congenital heart disease in children born to residents of Olmsted County, Minnesota, 1950-1969. | journal=Mayo Clin Proc | year= 1971 | volume= 46 | issue= 12 | pages= 794-9 | pmid=5128021 | doi= | pmc= | url= }} </ref>. Unlike other conditions ASD has a slight female preponderance of 2:1.


'''Associate Editors-In-Chief:''' {{CZ}}; [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]]
==Natural History, Complications and Prognosis==
==Causes==
==Diagnosis==
==Physical Examination==
==ECG==
==Echocardiography==
==Treatment==


'''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]]


==Overview==
'''Atrial septal defects''' (ASD) are a group of [[congenital heart disease | congenital heart diseases]] that involve the inter-atrial septum. The inter-atrial septum is the tissue that separates the [[right atrium|right]] and [[left atrium|left]] atria from each other.  This tissue prevents arterial and venous blood from mixing with each other. If there is a defect in this septum, a direct communication between the atria can occur, which allows shunting, resulting in mixing of arterial and venous blood. It is possible for blood to travel from the left side of the heart to the right side of the heart, or vice versa.


The direction of shunting will depend on a variety of factors, notably the patient's [[hemodynamics]].  If the pressures are higher in the right atrium than the left atrium, blue cyanotic blood will flow from the right atrium into the lower pressure left atrium.  A "Right-to-left-shunt" as described above may pose a more dangerous scenario (See [[Atrial septal pathophysiology | Pathophysiology]] below).  Since the right side of the heart contains venous blood with a low oxygen content, and the left side of the heart contains arterial blood with a high oxygen content, right to left shunts can cause [[hypoxia]] and result in [[cyanosis]].  Additionally, a communication between the two atria may allow blood clots to pass from the venous system to the arterial system and result in a [[stroke]] or peripheral embolism.


  <youtube v=06bHsQX3oeI/>
  <youtube v=06bHsQX3oeI/>

Revision as of 14:02, 18 August 2011

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Ostium Secundum Atrial Septal Defect
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [[2]]; Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[4]]

Overview

(ASD) are a group of congenital heart diseases that involve the inter-atrial septum. The inter-atrial septum is the tissue that separates the right and left atria from each other. This tissue prevents arterial and venous blood from mixing with each other. If there is a defect in this septum, a direct communication between the atria can occur, which allows shunting, resulting in mixing of arterial and venous blood. It is possible for blood to travel from the left side of the heart to the right side of the heart, or vice versa.

Epidemiology and demographics

Atrial septal defect are common heart defects and comprises approximately 7% of all the congenital heart disorders. [1]. Unlike other conditions ASD has a slight female preponderance of 2:1.

Natural History, Complications and Prognosis

Causes

Diagnosis

Physical Examination

ECG

Echocardiography

Treatment

<youtube v=06bHsQX3oeI/>

References

  1. Feldt RH, Avasthey P, Yoshimasu F, Kurland LT, Titus JL (1971). "Incidence of congenital heart disease in children born to residents of Olmsted County, Minnesota, 1950-1969". Mayo Clin Proc. 46 (12): 794–9. PMID 5128021.

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