No, my mistake. If it is the left atrium, that is much less reliable to interpret enlargement on an ECG. Keep in mind that there are many times when an ECG is thought to be "abnormal" when in fact it is borderline, and ultimately nothing is found to be wrong with the heart. The combination of left atrial enlargement and right ventricular enlargement on ECG is not classically consistent with an ASD. It sounds like you will need to see the cardiologist before knowing what she might have, if anything.
Did you mean to say left atrium? (hers is the left atrium and right ventricle)
Thank you Doctor Gleason
The findings of right atrial and right ventricular enlargement on an ECG are suggestive of an atrial septal defect, but it can also be seen with partially anomalous pulmonary venous connection (PAPVC) and primary pulmonary hypertension. That is why it is important for your child to be thoroughly evaluated by a pediatric cardiologist as you have planned. Atrial septal defects and PAPVC are notorious for being subtle forms of heart disease that can present at a variety of ages. That is because the heart tolerates the chamber enlargement for many years before clinical symptoms develop. Not all forms of congenital heart disease present during infancy, as most people think. Additionally, pulmonary hypertension can also present for the first time in teenagers.