Atrial septal defect (ASD) represents about 5% to 10% of all diagnosed congenital heart diseases, it is more common in women, with a prevalence 1.5 3.5 women for each man. Changes the interatrial septum oval fossa are called ostium secundum communication, which correspond 75% ASD cases. Half defects resolved spontaneously while other half requires surgical percutaneous intervention. Although ap...

OBJECTIVE The characteristic rSR' pattern in lead V1 on electrocardiogram (ECG) has been described in association with atrial septal defect (ASD) and right ventricular dilation. We aimed to determine if temporal ECG changes can guide a more discriminate and cost-effective screening during follow-up of isolated secundum ASD. METHODS Our study population included all pediatric patients followed...

OBJECTIVES The aim of this retrospective study was to compare the short-term outcomes of surgical versus transcatheter closure of secundum atrial septal defect (ASD) in adults. METHODS From January 2008 to October 2012, 229 patients aged 18 years and older with significant isolated secundum ASDs were admitted to our hospital. We focused only on objective data obtained from their medical recor...

INTRODUCTION Determining other echocardiographic predictors along with the measured atrial septal defect (ASD) size and evaluating the closure together with these predictors would increase the chance of success for transcatheter closure of ASD. AIM To evaluate echocardiographic parameters affecting defect closure in children and adult patients with secundum ASD. MATERIAL AND METHODS In all ...

BACKGROUND Transthoracic echocardiography is used for assessment of right ventricular (RV) function. Speckle tracking echocardiography (STE) is a new tool to assess myocardial function. The aim of this study was to evaluate RV function using STE in patients with atrial septal defect (ASD) before and the first month after percutaneous closure. METHODS We prospectively examined 32 consecutive p...

Atrial septal defect (ASD) closure is major therapy for patients with secundum ASD. Although surgical closure (SC) and transcatheter closure (TC) are usually performed in such patients, data on the long-term outcomes comparing TC and SC in adults are limited. Data on the participants of this cohort study were retrieved from Taiwan's National Health Insurance Research Database from 2004 to 2011....

Background—Volume overload of the pulmonary circulation in patients with atrial septal defect (ASD)-type secundum causes pulmonary vascular disease over a long period of time. This study aimed at (1) evaluating pulmonary vascular resistance (PVR) and (2) investigating the relation between PVR and exercise capacity in patients with open and closed ASD. Methods and Results—Forty-six patients with...

A 55-year-old woman with no prior cardiac history was referred for echocardiography after a precordial murmur was discovered on routine physical examination. Transthoracic and later transesophageal (Figure 1) echocardiography revealed a secundum-type atrial septal defect (ASD) measuring 1 cm in diameter and mild mitral regurgitation with normal ejection fraction and no wall motion abnormalities...