Can atrial septal defect heal by itself?

Written by Li Hai Wen
Cardiology
Updated on September 25, 2024
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Atrial septal defect is a relatively common congenital heart disease in infants and toddlers. It is indeed possible for a child's atrial septal defect to close on its own. Some atrial septal defects can close as the child grows. Depending on the severity, atrial septal defects can be categorized into small defects. Generally, if the defect is less than 5 millimeters, it is possible for the defect to close as the child develops. If it has not closed by the age of two, it generally will not close on its own thereafter.

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Written by Li Hai Wen
Cardiology
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What does atrial septal defect mean?

Atrial septal defect is a relatively common type of congenital heart disease encountered clinically. In simple terms, the human heart has four chambers: the left atrium, right atrium, left ventricle, and right ventricle. Between the left and right atria, there is a structure called the atrial septum, which separates the two atria. If there is a hole in this septum, this condition is referred to as an atrial septal defect. Atrial septal defects are common congenital heart conditions, and when the defect is severe, it often accompanies heart failure and other complications. Under such circumstances, it is crucial to visit a cardiologist for a formal assessment to determine the necessity and approach to treatment.

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Written by Tang Li
Cardiology
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Can a ventricular septal defect heal itself?

Traditional views suggest that the best age to close atrial septal defects (ASDs) is between four and five years old, during preschool. The possibility of spontaneous closure of atrial septal defects larger than 8 millimeters in diameter is very low. If the defect is less than 4 millimeters, there is a possibility of healing. Currently, it is advocated that if an atrial septal defect still exists after the age of one year, and there is evident systolic murmur and fixed splitting of the second heart sound, or if heart catheterization and echocardiography show left-to-right shunting greater than 1.5:1, indicating a defect diameter of five to six millimeters or more, early surgery should be pursued to stop the left-to-right shunt to avoid causing pulmonary hypertension and endocarditis.

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Written by Di Zhi Yong
Cardiology
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Can babies with ventricular septal defect sleep on their stomachs?

If the child has an atrial septal defect, it is not recommended for them to sleep on their stomach because this position can increase the burden on the heart, leading to an overload of the heart. This is a type of congenital heart disease. Currently, surgical treatment is primarily recommended, as early surgical intervention can alleviate the symptoms in children. Patients with ventricular septal defects typically display signs of ischemia and hypoxia, which can affect a child’s growth and development. It is advised to periodically re-examine the heart through echocardiography. If the defect is relatively large, early surgical treatment is recommended. It is also important to actively prevent upper respiratory infections, which can be beneficial for the child. In terms of sleeping posture, it is not recommended to sleep on the stomach; the best position is lying on the left side, as this can help alleviate the burden on the child’s heart.

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Written by Tang Li
Cardiology
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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.

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Written by Tang Li
Cardiology
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Imaging manifestations of atrial septal defect

The imaging characteristics of ventricular septal defects are as follows: 1. Small defects: Normal cardiac silhouette, or left ventricular hypertrophy, with mild pulmonary congestion. 2. Medium defects: Left ventricular hypertrophy or biventricular hypertrophy, enlarged pulmonary artery segment, smaller aortic knob. 3. Large defects: Both ventricles enlarged, left atrium enlarged, prominent pulmonary artery segment, significant pulmonary congestion. When pulmonary hypertension with right-to-left shunting occurs, the pulmonary artery segment is markedly prominent, but the lung fields are clear, and the heart shadow is smaller than before.