Atrial Septal Defect (ASD)

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A chamber congenital heart defect or ASD could be a hole in the wall between the two higher chambers of your heart or atria. The condition is innate which suggests from birth. Minor chamber body part flaws might reachable their own throughout infancy or babyhood. The heart and lungs are often broken by massive and long-standing chamber body part defects. little defects might never cause a retardant and will be found incidentally. associate adult WHO has had associate unobserved chamber congenital heart defect for many years might have a shortened life, and his death might arise because of heart condition or high-pressure level that affects the arteries within the lungs (pulmonary hypertension). to forestall complications, surgery could also be necessary to repair chamber body part defects to forestall.

A chamber congenital heart defect (ASD) permits freshly ventilated blood to ensure the left higher chamber of the guts (left atrium) into the correct higher chamber of the guts (right atrium). There, it mixes with deoxygenated blood and is pumped-up to the lungs, albeit it's already rested with O.

If the chamber congenital heart defect is massive, this further blood volume will fill the lungs and overwork the correct facet of the guts. If not treated, the correct facet of the guts eventually enlarges and weakens. If this method continues, the pressure level in your lungs might increase yet, resulting in pneumonic cardiovascular disease.

Many babies born with chamber body part defects haven't got associated signs or symptoms. In adults, signs or symptoms might begin around age thirty, however, in some cases, signs and symptoms might not occur till decades later.

Atrial congenital heart defect signs and symptoms might include:

  • Shortness of breath, particularly once physical exertion
  • Fatigue
  • Swelling of legs, feet or abdomen
  • Heart palpitations or skipped beats
  • Stroke
  • Heart murmur, a whooshing sound that may be detected through a medical instrument



People might experience:
Heart: irregular pulse rate, murmur, or palpitations
Respiratory: pulmonary cardiovascular disease or shortness of breath
Also, common: failure to thrive, fatigue, or stroke



Detection and Diagnosis
Atrial body part defects are often many varieties, including:

  • Secundum: this is often the foremost common style of ASD and happens within the middle of the wall between the atria (atrial septum).
  • Primum: This defect happens within the lower a part of the chamber septum and will occur with different innate heart issues.
  • Sinus venosus: This rare defect sometimes happens within the higher a part of the chamber septum.
  • Coronary sinus: during this rare defect, a part of the wall between the venous sinus — that is an element of the vein system of the guts — and therefore the atrium of the heart is missing.



Tests required: -
Echocardiogram: throughout associate sonogram, sound waves area unit want to manufacture a video image of the guts. It permits your doctor to ascertain your heart's chambers and live their pumping strength. This look at additionally checks heart valves and appears for any signs of heart defects. Doctors might use this look at to judge your condition and confirm your treatment arrange.

Chest X-ray: associate X-ray image helps your doctor to ascertain the condition of your heart and lungs. associate X-ray might determine conditions although a heart defect that will make a case for your signs or symptoms.

Electrocardiogram (ECG): This looks at records the electrical activity of your heart and helps determine cardiac rhythm issues.

Cardiac catheterization: during this look at, a thin, versatile tube (catheter) is inserted into a vessel at your groin or arm and target-hunting to your heart. Through catheterization, doctors will diagnose innate heart defects, look at however well your heart is pumping and check the performance of your heart valves. Doctors may use catheterization techniques to repair heart defects.

Computerized tomography (CT) scan: A CT scan uses a series of X-rays to make elaborated pictures of your heart. A CT scan could also be wont to diagnose associate chamber congenital heart defect if the diagnostic procedure hasn't diagnosed associate chamber congenital heart defect.


Treatment Methods
Treatment consists of corroboratory care
Small ASDs might shut on their own. Medium-to-large-sized ASDs may have closure by device or surgical correction.
Medical observance
If your kid has associate chamber congenital heart defect, your child's heart specialist might suggest observance it for an amount to ascertain if it closes on its own. Your kid's doctor can decide once your child desires treatment, looking at your kid's condition and whether or not your child has the other innate heart defects.
Medications
Medications will not repair the outlet; however, they will be wont to scale back a number of the signs associated symptoms that may accompany a chamber congenital heart defect. medicine may be wont to scale back the danger of complications when surgery. Medications might embrace those to stay the heartbeat regular (beta blockers) or to cut back the danger of blood clots (anticoagulants).
Surgery
Many doctors suggest repairing associate chamber congenital heart defect diagnosed throughout childhood to forestall complications as an associate adult. Doctors might suggest surgery to repair medium- to large-sized chamber body part defects. However, surgery is not counselled if you have got the severe pneumonic cardiovascular disease as a result of it would create the condition worse.
For adults and youngsters, surgery involves stitching closed or reparation the abnormal gap between the atria. Doctors can appraise your condition and confirm that procedure is most acceptable. chamber body part defects are often repaired exploitation 2 methods:

  • Cardiac catheterization:
  • During this procedure, doctors insert a skinny tube (catheter) into a vessel within the groin and guide it to the guts exploitation imaging techniques. Through the tubing, doctors set a mesh patch or plug into place to shut the outlet. the guts tissue grows round the mesh, for good protection the outlet. this sort of procedure could also be performed to repair solely the secundum style of chamber body part defects. Some massive secundum chamber body part defects might not be able to be repaired through viscus catheterization and will need heart surgery.

  • Open-heart surgery.
  • This sort of surgery is finished beneath anaesthesia and needs the employment of a pump. Through associate incision within the chest, surgeons use patches to shut the outlet. This procedure is that the most well-liked treatment for sure varieties of chamber body part defects (primum, sinus venosus and coronary sinus), and these varieties of chamber defects will solely be repaired through heart surgery. This procedure may be conducted exploitation little incisions (minimally invasive surgery) for a few varieties of chamber body part defects.



Treatment Duration
The procedure usually takes one to two hours; however, it will take longer.
The heart specialist can counsel the time of discharge. the kid can get to keep in the hospital for a minimum of four to six hours when the procedure. Most of the time the youngsters will get back on an equivalent day because the procedure finishes. sonogram is finished when the procedure. This look at is to create certain that there's no fluid round the heart.


Precautions

  • Quit smoking
  • Manage high cholesterol
  • Manage high blood pressure and diabetes
  • Exercise regularly
  • Reach and maintain a healthy weight
  • Eat a heart-healthy diet
  • Control stress and anger
  • Take all medications as directed
  • Take part in a cardiac rehabilitation program
  • See your doctor for regular follow-up visits



Success rate
The success rate of the Atrial Septal defect is 95% and the procedure usually takes 1 to 2 hours, but it can take longer.


Care after the procedure
The cardiologist will suggest the time of discharge. The child will have to stay in the hospital
for at least 4 to 6 hours after the procedure. Most of the time the children can go home on the same day as the procedure finishes. Echocardiogram is done after the procedure. This test is to make sure that there is no fluid around the heart.

Atrial Septal Defect Hospitals in India

Cardiology Top 20. Top Ranked Hospitals for Cardiology in India. Get Opinion and cost estimate from any three Hospitals Times of India National Rank in Cardiology The Week National Rank in Cardiology
Medanta Hospital Gurgaon Delhi India
Medanta – The Medicity is one of India's largest multi-super specialty institutes located in Gurgaon, a bustling town in the National Capital Region. Founded by eminent cardiac surgeon, Dr. Naresh Trehan, the institution has been... + Read More
Size of Hospital (Beds) : 1,250
Accredited By :
  • JCI
  • NABH
1 5
Apollo Hospitals Chennai
In 1983 , the Apollo Group established the flagship hospital named as Apollo Hospital , Chennai. The Hospital has 60 departments organized by Internationally Trained Doctors , having hi-tech facilities of vaious health disorders and... + Read More
Size of Hospital (Beds) : 500
Accredited By :
  • JCI
  • NABH
2 7
Fortis Escorts Heart Institute - Okhla New Delhi India
Fortis Escorts Heart Institute and Research Center is revered as an enduring symbol of Cardiac Care in the country. A JCI Accredited Hospital, Fortis Escorts Heart Institute, offers sheer excellence in the field of Cardiology and Cardiac... + Read More
Size of Hospital (Beds) : 285
Accredited By :
  • JCI
  • NABH
3 2
Indraprastha Apollo Hospital Delhi India
The India’s First Hospital which is Internationally Accredited by Joint Commission International(JCI) is the Indraprastha Apollo Hospital, New Delhi. It is the best multi-speciality tertiary acute care hospitals with over 700 beds. It... + Read More
Size of Hospital (Beds) : 718
Accredited By :
  • JCI
  • NABH
4 9
Dr. Agarwal Eye Hospital, Chennai
Dr.Agarwal's Eye Hospital was founded by Late Dr.J.Agarwal (recipient of the Padma Bhushan award) and his wife Dr. T.Agarwal in Chennai, India, in 1957. What was initially an eye clinic and their home evolved into a modern eye hospital... + Read More
Size of Hospital (Beds) : 275
Accredited By :
  • JCI
  • NABH
4
Fortis Hospital Mumbai India
Fortis Hospital, Mulund is a JCI accredited, 300-bed multi-speciality tertiary care hospital providing a range of diagnostic and treatment services. With cutting edge technology, highly skilled and experienced surgeons and paramedical... + Read More
Size of Hospital (Beds) : 300
Accredited By :
  • JCI
  • NABH
5
Kokilaben Dhirubhai Ambani Hospital Mumbai India
Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute is India’s one of the most advanced tertiary care facilities. As the flagship social initiative of the Reliance Group headed by Anil Dhirubhai Ambani, the hospital is... + Read More
Size of Hospital (Beds) : 750
Accredited By :
  • JCI
  • NABH
6
Fortis Memorial Research Institute - Gurgaon India
Fortis one of their leading health care centers is located at Guargaon. Fortis hospital Guargaon Set up over 11-acres, with a provision of 1000 beds. The Fortis Memorial Research Institute (FMRI) is a quaternary care and multi-speciality... + Read More
Size of Hospital (Beds) : 1000
Accredited By :
  • JCI
  • NABH
9
Dr. L H Hiranandani Hospital Mumbai India
Dr L H Hiranandani was the inspiration behind the edifice. He was born in 1917 in Thatta, Sind (now in Pakistan). The family migrated to Mumbai in 1937. He completed his medical education in 1942. He was keen to further his education and... + Read More
Size of Hospital (Beds) :
Accredited By :
  • JCI
  • NABH
10
Apollo Hospitals, Bengaluru is a tertiary care leading unit of the Apollo hospitals group. It has made a presence in Bengaluru and reached 42nd Super Specialty Hospital of the crowd. It is a 250 bedded hospital, beautifully redesigned over... + Read More
Size of Hospital (Beds) : 250
Accredited By :
  • JCI
  • NABH
11
Apollo Hospital Hyderabad India
Apollo hospital , Hyderabad is the best hospital in the world , in terms of technical expertise , deliverables and outcomes. The first health city in Asia and a perfect example of an integrated healthcare system offering solutions across... + Read More
Size of Hospital (Beds) : 350
Accredited By :
  • JCI
  • NABH
13
Rabindranath Tagore International Institute of Cardiac Sciences Kolkata India
Rabindranath Tagore International Institute of Cardiac Sciences (RTIICS), Kolkata is a NABH accredited superspeciality tertiary care hospital established in the year 2000. It provides service to the people of West Bengal and neighbouring... + Read More
Size of Hospital (Beds) : 200
Accredited By :
  • JCI
14
Fortis Hospital Mohali India
Fortis Hospital Mohali (FHM) has been Internationally Accredited by Joint Commission International (JCI) since 2007 (renewed for the 4th time in 2016). It is also the proud recipient of accreditation from National Accreditation Board of... + Read More
Size of Hospital (Beds) : 344
Accredited By :
  • JCI
  • NABH
15
Narayana Health Bangalore India
We are headquartered in Bengaluru, India, and operate a national network of hospitals in India with a particularly strong presence in the southern state of Karnataka and eastern India, as well as an emerging presence in western and central... + Read More
Size of Hospital (Beds) : 250
Accredited By :
  • JCI
  • NABH
16 3
Continental Hospitals, A Gleneagles Facility Hyderabad India
Continental Hospitals is a part of the Parkway Pantai Ltd. Parkway Pantai is one of the region's largest integrated private healthcare groups with a network of 22 hospitals and more than 4,000 beds throughout Asia, including Singapore,... + Read More
Size of Hospital (Beds) : 750
Accredited By :
  • JCI
  • NABH
18
Max Super Speciality Hospital - Patparganj New Delhi India
Max Multi Speciality Hospital, Patparganj, subsidiary of Max healthcare that have 11 top hospitals in Delhi- NCR, Punjab and Uttarakhand with over 1900 bedding facilities including 525 ICU bedding, 2100 world class doctors. They follow a... + Read More
Size of Hospital (Beds) : 500
Accredited By :
  • JCI
19
Jaslok Hospital Mumbai India
Jaslok Hospital was set up in 1973 with a very simple mission. Our founders, Jasoti and Lokoomal Chanrai, wanted to ensure that we provide the best possible medical care using state-of-the-art technology to every single patient,... + Read More
Size of Hospital (Beds) : 600
Accredited By :
  • JCI
  • NABH
20