Causes of infant room septal defect

Written by Li Hai Wen
Cardiology
Updated on September 09, 2024
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Atrial septal defect is a relatively common congenital heart disease in infants and young children. The causes of atrial septal defects are not very clear, but modern medicine considers that it may be related to the mother having a cold during pregnancy or taking certain medications, or to certain physical and chemical factors during pregnancy. Generally, atrial septal defects are not inherited and are not largely related to genetics.

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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 Li Hai Wen
Cardiology
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Can someone with an atrial septal defect go swimming?

Atrial septal defect is not uncommon in our daily lives. Many patients with atrial septal defects often ask their doctor if they can swim. This has to be analyzed based on specific circumstances. If the atrial septal defect is not severe, and it's just a minor atrial septal defect, generally it does not affect the patient's daily activities, such as swimming or running. However, if the atrial septal defect is severe, especially if it has led to heart failure and heart enlargement, in this situation, one should definitely not engage in strenuous activities such as swimming or running.

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Written by Di Zhi Yong
Cardiology
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Can atrial septal defect of the patent foramen ovale type heal itself?

This disease is a congenital heart disease, and it is recommended that the patient undergo a cardiac echocardiography. If symptoms such as palpitations and chest tightness occur, and distinct murmurs can be heard in the precordial area, surgical treatment is sometimes advised. After all, an atrial septal defect can lead to certain conditions, especially in children who are prone to pediatric pneumonia or bronchitis, which can affect their growth and development. Currently, surgical treatment is the main approach. If the issue is not very serious, the defect might heal on its own as the child grows, but this possibility is relatively small. In most cases, surgery is recommended.

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Written by Di Zhi Yong
Cardiology
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What should be paid attention to daily with an atrial septal defect?

If the patient has an atrial septal defect, it is advised that the patient should adhere to a light diet and regularly visit the hospital for electrocardiogram and echocardiography checks. If the defect is relatively large, I personally recommend surgical treatment for the patient, as it can effectively alleviate the current condition. After all, while drug treatment has some effect, there is a risk of recurrence. Surgery can permanently treat atrial septal defects and improve the patient’s symptoms. If the patient experiences difficulty breathing, this needs to be addressed. Additionally, it is important to keep warm, avoid catching cold, and monitor changes in the patient’s heart rate, blood pressure, and pulse.

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Written by Tang Li
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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.