I just learned today that a small hole was found between the upper chambers of my heart. I believe this is called an atrial septal defect, but was never told the official medical term. This was found on a routine echocardiogram for evaluation of pvcs. I had an echo 2½ years ago and it was not picked up then. I am confused by this. The tech that called me with the results downplayed it saying that the hole was small and I have an otherwise structurally normal heart and valves. She said that they would note it in my file. Everything I have read online says that the hole should be repaired. I have asked for further explanation from my doctor, but he hasn't called back yet. Shouldn't there be other tests run? Has anyone had a septal defect and not needed repair/surgery?