A mesh patch or plug is passed through the catheter and used to close the hole. A thin, flexible tube (catheter) is inserted into a blood vessel, usually in the groin, and guided to the heart using imaging techniques. This can be done two ways:Ĭatheter-based repair. Many cardiologists recommend surgery to repair a medium to large atrial septal defect that's diagnosed during childhood or adulthood to prevent future complications.įor adults and children, atrial septal defect repair surgery involves closing the hole in the heart. Medications for atrial septal defect might include drugs to control the heartbeat (beta blockers) or to reduce the risk of blood clots (anticoagulants). Medications won't repair an atrial septal defect, but they can help reduce signs and symptoms. However, closure isn't recommended if severe pulmonary hypertension is present. Many persistent atrial septal defects eventually require surgery. Your health care provider will discuss with you when you or your child needs treatment. A doctor specializing in heart diseases (cardiologist) might recommend monitoring it with regular health checkups to see if it closes on its own. For those that don't close, some small atrial septal defects might not require treatment. Many atrial septal defects close on their own during childhood. Treatment for atrial septal defect depends on the size of the hole in the heart and whether you or your child has other congenital heart defects. It can be used to diagnose an atrial septal defect and related congenital heart defects if echocardiography hasn't definitely diagnosed an atrial septal defect. This uses a series of X-rays to create detailed images of your heart. A health care provider might request this type of MRI if echocardiography didn't provide a definitive diagnosis. This imaging test uses magnetic fields and radio waves to create detailed images of the heart. Cardiac magnetic resonance imaging (MRI) scan.An ECG can help identify irregular heartbeats (arrhythmias). ![]() This quick and painless test records the electrical activity of the heart. A chest X-ray shows the condition of the heart and lungs. An echocardiogram can show how well blood is moving through the heart and heart valves. Sound waves are used to create pictures of the heart in motion. This is the most commonly used test to diagnose an atrial septal defect. Tests that are done to help diagnose an atrial septal defect include:
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