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Atrial Septal Defect (ASD) Heart Surgery
Atrial septal defect (ASD) is an unusual hole in the wall between the two upper chambers of the heart, known as the right and left atria. When this hole occurs, much blood flows from the left atrium to the right atrium and from the right side of the heart. This surplus blood flows through the right ventricle, pulmonary artery and into the lungs causing the heart work harder. The extra blood flowing to the lungs makes a noise called a murmur.

Small holes may close by itself by the time a child is 2 years old. In some cases, the defect doesn't cause symptoms until middle age.




What Are the Signs and Symptoms Atrial Septal Defect?
Most babies that are born with atrial septal defects (ASDs) have no signs or symptoms. When signs and symptoms do appear, heart murmur is the very common one. A heart murmur is an extra or abnormal sound heard during a heartbeat.

Usually, a heart murmur is the only sign of an ASD. However, not all murmurs are symptoms of congenital heart defects. Many healthy children experience heart murmurs. Doctors can listen to heart murmurs and tell if they're harmless or signs of heart issues.

Over time, if a large ASD isn't treated, the extra blood flow to the right side of the heart can damage the heart and lungs and lead to heart failure. This doesn't happen until adulthood.

Signs and symptoms of heart failure include:
• Fatigue (tiredness)

• Easily getting tired during physical activity

• Shortness of breath

• A collection of blood and fluid in the lungs

• A collection of fluid in the feet, ankles, and legs


Treating Atrial Septal Defect
Regular checkups are performed to see if an Atrial Septal Defect (ASD) closes on its own. About half of all ASDs close on their own with time, and about 20 percent close within the first year of life.

Your child's doctor will tell you how often your child should have checkups. For an ASD, frequent checkups aren't required.

When treatment of an ASD is required, it involves catheter or surgical processes to close the hole. Doctors usually decide to close an ASD in children who still have medium to large holes by the time they're 2 to 5 years old.

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