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Atrial Septal Defect

People born with an atrial septal defect have a hole between the upper chambers of the heart. With small defects, symptoms might not occur or they may be mild. However, larger defects can have serious consequences and be potentially life-threatening without proper treatment.

What Causes Atrial Septal Defects?

Doctors believe that certain genetic changes contribute to this heart defect, although the exact cause is not clear. Some pregnancy risk factors increase the chance of a congenital heart defect, such as:

  • Use of cocaine and other recreational drugs
  • Pre-existing diabetes
  • Some prescription medications
  • Use of tobacco products
  • Consumption of alcohol

A healthy pregnancy can protect your baby, so be sure to ask your obstetrician for guidance and advice when it comes to lifestyle factors.

Symptoms and Complications

As a congenital condition, atrial septal defects can sometimes cause symptoms in children. In this case, a child may be diagnosed with a heart murmur, along with low weight and frequent respiratory infections.

 

For most people, this congenital heart defect does not cause issues until age 40 or so. In adults, symptoms include:

  • Rapid heartbeat
  • Fatigue
  • Blueish tint to the skin
  • Heart palpitations
  • Swelling in the arms and legs
  • Shortness of breath during physical activity

Large atrial septal defects can also lead to complications. Arrhythmia, strokes, heart failure, and pulmonary tension can result from ongoing strain on the heart and damage to the blood vessels.

Treatment

When atrial septal defects are small, they may close during childhood. In the event that a small hole between the chambers remains, your child’s doctor will likely recommend regular monitoring.

For larger defects that cause health issues, doctors can prescribe medication or surgery:

  • Medication – While medicines don’t directly treat heart defects, they can relieve symptoms. Accordingly, your doctor might prescribe blood thinners, beta blockers, or diuretics. 
  • Surgery – There are two common procedures used to repair atrial septal defects. Catheter-based repair entails using surgical tube to place a piece of mesh over the defect. Conversely, open heart surgery may be needed to treat certain types of defects.
 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.