Pediatric Heart Expert Forum
Atrial Septal Defect
About This Forum:

Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Atrial Septal Defect

my son has recently been diagnosed with an atrial septal defect it is 2.5cm he is 13 years old.....he gets a lot of chest pains with it, most are minor he scores them 2 or 3 out of 10 but when he elevates his heart rate like running short distances e.g 20 metres they are more severe he rates them 7 or 8 out of 10 and often include shortness of breath. We are waiting for a paediatric Cardiology appointment.....My query is every rescource says that he should not have pain. Has anyone else experienced pain with this condition???
Related Discussions
773655_tn?1340656399
An atrial septal defect (ASD) is a hole between the upper heart chambers.  It allows blood from the left sided heart chambers to cross back to the right sided heart chambers and then the blood is pumped back to the lungs. If an ASD is large enough, and the inefficient blood flow occurs for long periods of time, then the right sided heart chambers enlarge.  In older children and adolescents with large ASDs (and 2.5 cm would be large) it is common for them to experience shortness of breath with activity, and exercise intolderance.  Some patients get palpitations and tachycardia related to the stretched cardiac chambers.  You are correct that chest pain is not typically associated with atrial septal defects.  However, there are many causes of chest pain in children, most of which are not cardiac in nature, including musculoskeletal pain, exercise induced asthma and inflammation of the chest wall.  So your child's chest pain may not even be due to the atrial septal defect.  Some ASDs occur in conjunction with other structural abnormalities of the heart, so your child's cardiologist will need to check for other associated heart problems.  If your child's chest pain mainly occurs with physical activity, then an exercise stress test may be indicated to try to reproduce your son's pain and see what the cause might be.
2 Comments
Blank
Avatar_n_tn
Thank you so much for your information, I really appreciate your advice!
Blank
Continue discussion Blank
This Forum's Experts
773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank