The atrial septal is the hole in the wall between two upper chambers of atria. This condition present by birth (Congenital). With the help of advanced medical technology, the Congenital Heart defect can be detected when the child is in Mother’s womb.
Dr. Suresh Rao says” Congenital heart defect can be detected before the child's birth, by using Ultrasound technology, the best time for detection is between 16 to 18 weeks. ECHO test is recommended, only the test should be performed under the guidance of pediatric cardiologist.”
Atrial septal defects (ASD) are one of the simplest and common types of congenital heart defect. About 1 on every 100 babies is born with congenital heart defect. The defect type could be complex or simplest. An atrial septal defect can be small, large or big. A tine ASD doesn't require any treatment as it might close by its own by the time your child starts schooling. ASD with moderate and large certainly required the treatment.
When an atrial septal defect is present, blood flows through the hole primarily from the left atrium to the right atrium. This shunting increases the blood volume in the right atrium which means more blood flows through the lungs than it would normally.
Small atrial septal defects may never cause a problem, but large and long-standing defects can damage your heart and lungs. Surgery is required to repair atrial septal defects to prevent complications.
"The ideal age for ASD treatment is 2yrs to 5yrs before the child goes to the school, generally there is no need to treat a child when it’s very small unless the child shows any indications"- said Dr.Suresh Rao.
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Non-surgical repair is the preferred treatment for most patients with simple ASD. This type of repair uses a closure device to close the hole in the septum. If you have a different type of ASD or the anatomy of your secundum ASD is not amenable to percutaneous closure, then you need surgery. Your cardiologist will guide you on which type of repair procedure is best for you. For the non-surgical procedure, you have to follow the prerequisite suggested by your cardiologist. After the treatment, a child will get a discharge in 3 days.
If the closure device procedure is not working for you then you have to go for surgery which is open heart surgery. In today’s practice, the success rate of surgery is close to 100%. A child has to be hospitalized one day before the surgery for a basic blood test and routine check-up. after the surgery, a child has to remain in the hospital for 7 to 8 days. Ones the treatment is completed a child is a cure for the life with no side effects.
“Parents with a girl child don't have to worry about the surgery scares, hospitals like Kokilaben Ambani, India performs the surgery on the back so no scars at the front. -Dr.Suresh Rao”
Many babies born with Atrial septal defects don’t even show any signs or signals.
Atrial septal defect signs and symptoms may include:
The heart forms during the initial two months of pregnancy. It starts as a hollow tube and divides into 4 chambers two on the right side and two on the left side. To pump blood throughout the body, the heart uses its left and right sides for different tasks. These chambers are separated by walls. An atrial septal defect (ASD) allows freshly oxygenated blood flow from the left atrium into right atrium where it mixes with deoxygenated blood and is pumped to the lungs, even though it's already refreshed with oxygen.
If the ASD is large, the extra blood volume will overflow the lungs and overwork the right side of the heart. because of the overfill, the right side of the heart enlarges and weakness. if the process keeps on continuing the blood pressure in your lung increase and lead to pulmonary hypertension. The most atrial septal defect occurs by changes, even doctor can’t find the clear reason why this occurs.