Can a ventricular septal defect have a vaginal delivery?

Written by Li Hai Wen

Cardiology

Updated on September 01, 2024

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Atrial septal defect is a relatively common congenital heart disease in adults. Therefore, when women are diagnosed with this condition, they often ask their doctor one question: "Can I give birth naturally?" This question requires a case-by-case analysis. If the atrial septal defect is not severe, does not cause changes in the heart structure, or lead to heart failure, then natural childbirth is definitely possible. However, if the atrial septal defect is severe and causes changes in heart structure, such as pulmonary hypertension or heart failure, then natural childbirth is generally not advisable. It is best to opt for a cesarean section under the guidance of a doctor to alleviate the burden on the pregnant woman and reduce the occurrence of serious incidents.

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Written by Li Hai Wen

Cardiology

43sec

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Is a 12mm atrial septal defect serious?

Atrial septal defect (ASD) is a fairly common congenital heart disease in pediatric cardiology. For infants and young children, atrial septal defects can be categorized based on their size into three types: A large atrial septal defect typically refers to a defect larger than 10 millimeters. A medium atrial septal defect generally refers to a defect that ranges from 5 to 10 millimeters. A small atrial septal defect usually refers to a defect that is less than 5 millimeters. Therefore, for an infant or young child, an atrial septal defect measuring 12 millimeters would indeed be considered quite severe.

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Written by Tang Li

Cardiology

1min 8sec

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Is atrial septal defect common?

Atrial septal defect accounts for about 20%-30% of all congenital heart diseases and is more common in females. Many cases are mild in children and are not discovered until adulthood. Atrial septal defects can be classified based on anatomical abnormalities into patent foramen ovale, primary atrial septal defect, and secondary atrial septal defect. A patent foramen ovale generally does not cause shunting between the two atria. A primary atrial septal defect is located at the lower part of the atrial septum, is semicircular in shape, and is often larger, frequently associated with malformation of the mitral or tricuspid valves resulting in regurgitation. A secondary atrial septal defect is situated in the middle of the atrial septum at the fossa ovalis or near the superior and inferior vena cava. The symptoms of an atrial septal defect vary with the size of the defect; minor cases may be asymptomatic, while severe cases can result in heart failure.

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Written by Li Hai Wen

Cardiology

1min 11sec

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Postoperative complications of atrial septal defect intervention surgery

Atrial septal defect is a relatively common congenital heart disease in clinical practice. Minimally invasive interventional treatment can effectively address atrial septal defects and generally leaves no surgical scars. The complications of atrial septal defects can be analyzed from the following aspects: First, puncture complications. Atrial septal defects require the puncture of the femoral vein. A small number of patients may experience complications such as arteriovenous fistula, pseudoaneurysm, or hematoma at the puncture site. Generally, these complications are not serious and do not endanger the patient's life. Second, complications from dislodged occlusion devices. If the occlusion device becomes dislodged, it can lead to serious complications, including obstruction of the relevant blood vessels. Third, hemolytic reactions. A small number of patients may develop hemolytic reactions to the occlusion device. Such complications are also quite serious; however, they are very rare in clinical practice and do not require excessive concern.

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Written by Tang Li

Cardiology

50sec

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Atrial septal defect should be consulted with the Department of Cardiology.

Atrial septal defect is a common congenital heart disease in childhood, and it is also the most common congenital heart disease in adulthood. The incidence rate of atrial septal defects is about 1/1500 live births, accounting for 5%-10% of all congenital heart diseases, and it is more common in females. Most children with atrial septal defect, in addition to being prone to respiratory infections such as colds, may have no obvious symptoms and their activities are not limited. It is generally not until adolescence that symptoms like shortness of breath, palpitations, and fatigue appear. Patients with atrial septal defects should seek treatment in departments such as cardiology, cardiovascular surgery, thoracic surgery, or pediatric cardiology.

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Written by Tang Li

Cardiology

1min 13sec

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How to treat atrial septal defect

Typical cardiac murmur ECG and X-ray findings may suggest the presence of an atrial septal defect. An echocardiogram can confirm the diagnosis, and it should be differentiated from conditions such as anomalous pulmonary venous return, pulmonary valve stenosis, and small ventricular septal defects. For the treatment of atrial septal defects, in adult patients, if echocardiographic evidence of increased right ventricular volume load is present, the defect should be closed as soon as possible. Treatment options include interventional and open-heart surgical procedures. Before the implementation of interventional surgeries, all cases of simple atrial septal defects that have caused hemodynamic changes, with signs of increased pulmonary blood flow, enlargement of the atria and ventricles, and corresponding ECG findings, should undergo surgical treatment. In older patients with severe pulmonary hypertension, surgical treatment should be approached with caution.