we recently got to know that my sister aged 10 years has ASD. according to the echocardiogream report she has a 13mm defect. she has slight right atrial hypertrophy. her valves are otherwise normal and she is completely asymtomatic. what is the treatment for this. are their any complication?
Without evaluating your sister, I cannot say exactly what needs to be done for her. However, a 13 mm atrial septal defect (ASD) is a large defect. Although she may be without symptoms at this point, the fact that this defect remains open is a risk for the development of pulmonary hypertension (high blood pressure across the lungs) as well as atrial arrhythmias. Therefore, we recommend that defects of this size be closed. The classic method of closing the defect is with open heart surgery, closing the defect by sewing in a patch. However, newer technologies have allowed cardiologists to close the defect by placing a device in the hole by using a catheter placed through the vein in the leg and up into the heart. The device plugs the hole and the catheter is removed. There are several criteria for being able to have this done, so I recommend that this be done in an institution with plenty of experience doing this. It is well tolerated and does not result in the need for a prolonged hospital stay or a surgical scar.
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