Ppt on atrial septal defect secundum

Development and teratology of cardiovascular and lymphatic systems Repetition: Muscle tissue.

6- membranaceous part of septum 7- IV septum Atrium Septum atriorum -septum primum with ostium primum (obliterates); ostium secundum -septum secundum with foramen ovale Atrium At the end of the 4th week, septum primum grows from the dorsocranial wall of the /Abnormal blood flow (as indicated by the shaded blue arrow) is from the right atrium and right ventricle through an atrial septal defect to the left side of the heart. Blood can reach the pulmonary arteries only through a patent ductus arteriosus. Heart/


Development and teratology of cardiovascular and lymphatic systems.

6- membranaceous part of septum 7- IV septum Atrium Septum atriorum -septum primum with ostium primum (obliterates); ostium secundum -septum secundum with foramen ovale Atrium At the end of the 4th week, septum primum grows from the dorsocranial wall of the /Abnormal blood flow (as indicated by the shaded blue arrow) is from the right atrium and right ventricle through an atrial septal defect to the left side of the heart. Blood can reach the pulmonary arteries only through a patent ductus arteriosus. /


Development of the Heart. Development of primitive heart tube  It develops early in the middle of 3 rd week, from aggregation of splanchnic mesodermal.

, interatrial septum, illustrating development of oval fossa in right atrium.  B and B1, note incomplete adhesion of septum primum TO septum secundum and development of a probe patent oval foramen. Atrial septal defect (ASD):( ostium secundum defect) A probe patent oval foramen : Various Types of Atrial Septal Defect (ASD) in the right aspect of interatrial septum :  A, patent oval foramen due to abnormal resorption or perforations of septum primum/


Robosa, Dino Rodas, Francis Rodriguez, Shereen Rogelio, Ma. Gracella Salazar, Riccel Salcedo, Von.

Ma. Gracella Salazar, Riccel Salcedo, Von  Etiology: Congenital Heart Disease  Anatomy: atrial septal defect, ostium secundum, dilated right atrium, markedly dilated and hypertrophied right ventricle, dilated main pulmonary artery,/ OR  prosthetic material OR  percutaneous transcatheter device closure should be advised for all patients with uncomplicated secundum atrial septal defects with significant left- to-right shunting Harrison’s Principles of Internal Medicine 17th ed. The mere presence /


Introduction to development of the heart  It develops early in the middle of 3rd week, from aggregation of splanchnic mesodermal cells, in cardiogenic.

remnant of the upper margin of the septum primum.  2. Lunate impression above the fold is formed by septum secundum.  3. Foramina venarium minimarium. Development of IVS Ventricular Septum Membranous Muscular Spiral (Aorticopulmonary) Development of muscular part /setting of a superior sinus venosus ASD. Coronary Sinus Septal Defects  Less than 1% of ASDs  Defects in the inferior/anterior atrial septum region that includes the coronary sinus orifice.  Defect of at least a portion of the common wall /


Congenital Heart Diseases -Congenital heart disease is a general term used to describe abnormalities of the heart or great vessels that are present from.

risk for infective endocarditis. ASD & VSD Small Defects No significant shunt Source of Infection Infective endocarditis Atrial Septal Defect (ASD) A hole in the inter- atrial septum produces a modest left-to-right shunt. Enlarged right heart, & pulmonary vessels. 1.1. Ostium Secundum ASD : The most common type of ASD is a defect in the development of the septum secundum, which produces mild disease that is frequently not/


Robosa, Dino Rodas, Francis Rodriguez, Shereen Rogelio, Ma. Gracella Salazar, Riccel Salcedo, Von.

8.83  QS = 3.88  QP/QS = 2.27  Etiology: Congenital Heart Disease  Anatomy: atrial septal defect, ostium secundum, dilated right atrium, markedly dilated and hypertrophied right ventricle, dilated main pulmonary artery, anterior mitral valve prolapse  Physiology/prosthetic material OR  percutaneous transcatheter device closure should be advised for all patients with uncomplicated secundum atrial septal defects with significant left- to-right shunting Harrison’s Principles of Internal Medicine 17th ed. /


” سبحانك لا علم لنا إلا ما علمتنا إنك أنت

,500 live births. ASD is more common in female with ratio of 4:1 . Types of ASDs There are 4 types of ASD Ostium Secundum. Ostium Primum. Sinus Venosus. Coronary sinus defects. Secundum defects Secundum defects are the most common, accounting for 6-10% of all congenital lesions. Atrial Septal Defect (Primum) Ostium primum is the next most common type and is located in the lower portion of the/


Approach to child with heart disease

failure despite optimal medical management. Surgical repair prior to development of an irreversible increase in pulmonary vasculalr resistance (usually prior to the patients second birthday). Atrial Septal Defects: secundum Most common form of ASD (fossa ovalis) In large defects, a considerable shunt of oxygenated blood flows from the left to the right atrium. Mostly asymptomatic The 2nd heart sound is characteristically widely split and fixed/


Heart. Congestive heart failure or heart failure : condition : heart is unable to adequately pump blood throughout the body.

Most other congenital cardiac malformations Acquired valvular dysfunction Hypertrophic cardiomyopathy Mitral valve prolapse with regurgitations and/or thickened leaflets ENDOCARDITIS RISK STRATIFICATION Endocarditis prophylaxis not recommended Negligible risk Isolated secundum atrial septal defect Surgical repair of ASD, VSD, or PDA (without residua beyond 6 mo.) Prior coronary artery bypass graft Mitral valve prolapse without regurgitation Physiologic, functional, or innocent heart murmurs ENDOCARDITIS/


Congenital Heart Disease and Cardiac Imaging Modalities

anomalous pulmonary venous return “5 Ts and 2 Es” The heart is formed and septations occur at 50 embryonic days. Atrial Septal Defects One third of all congenital defects detected in the adult are ASDs. 2-3 times more likely to occur in women 3 varieties: Ostium primum Ostium secundum Sinus venosus Ostium Primum 15% of all ASDs Occurs in the lower part of the/


CONGENITAL HEART DISEASE.. Anatomy of the Heart Figure 12.2.

flow across Rt heart-RV & PA enlargement. Clinical features:asymptomatic,slow wt gain,frequent LRTI. Diagnosis:Rt ventricular heave,systolic murmur,fixed wide split S2. Atrial Septal Defects: secundum Most common form of ASD (fossa ovalis) In large defects, a considerable shunt of oxygenated blood flows from the left to the right atrium. Mostly asymptomatic The 2nd heart sound is characteristically widely split and fixed/


Acyanotic CHD Dr.Emamzadegan Pediatric & Congenital Cardiologist.

: Size of ASD & Compliance of RV & LV ASD closure : If significant shunt at around 3 years Atrial septal defect ASD closure device : Amplatzer for ASD secundum Prophylaxis for Endocarditis: for non secundum types Atrial septal defect An isolated valve-incompetent patent foramen ovale (PFO) is a common echocardiographic finding during infancy. Ostium secundum defect: (p=1883) # Partial anomalous pulmonary venous return, most commonly of the right upper pulmonary vein, may/


Stroke In The Young Adult

. Cardiogenic Embolism Paradoxical embolization from the right heart to the left is believed to occur via a patent foramen ovale or atrial septal defect (which can be found on autopsy in up to one fourth of all people. Atherosclerosis of the aorta or carotid arteries/is advanced across the foramen into the left atrium, where a folded disk is expanded and pulled back, apposing the primum and secundum septa closed. This step is followed by deployment of a right-sided disk, at which time the two-disk device is /


FOETAL CIRCULATION. CIRCULATION AFTER BIRTH EMBRYOLOGY Embryologically, the septum primum separates the two atria first, moving inferiorly toward the.

of Diagnosis ASD CHAMBER PRESSURES Simultaneous left and right atrial and differential pressure across an atrial septal defect. The pressure difference across the defect is greatest before the v wave. The right atrial pressure tracing is inverted because it is recorded by /patch. Anomalous pulmonary venous connections are baffled to the LA through the sinus venosus defect when such anomalous veins are present. For ostium secundum ASDs, percutaneous closure by use of a variety of devices is now preferred over/


Procedural Quality Best Practices for the Pediatric Cath Lab.

J, Vincent R, Kanter K. Results of the U.S. multicenter pivotal study of the HELEX septal occluder for percutaneous closure of secundum atrial septal defects. J Am Coll Cardiol. 2007 Jun 5;49(22):2215-21Jones TKLatson LAZahn EFleishman CEJacobson JVincent /J, Vincent R, Kanter K. Results of the U.S. multicenter pivotal study of the HELEX septal occluder for percutaneous closure of secundum atrial septal defects. J Am Coll Cardiol. 2007 Jun 5;49(22):2215-21 Jones TKLatson LAZahn EFleishman CEJacobson JVincent/


1 ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease Developed in Collaboration With: The American Society of Echocardiography,

valve diseasePreviously ligated or occluded ductus arteriosus Isolated congenital mitral valve disease (e.g., except parachute valve, cleft leaflet) Repaired secundum or sinus venosus ASD without residua Isolated patent foramen ovale or small atrial septal defect Repaired ventricular septal defect without residua Isolated small ventricular septal defect (no associated lesions) Mild pulmonary stenosis Small patent ductus arteriosus *These patients can usually be cared for in the general medical/


Congenital heart diseases CHD are the abnormalities of the heart or blood vessels that are present from birth. Disorders arise during the 3 rd to 8 th.

the Fossa Ovalis, most common. Primum ASD – lower in position & is a form of ASVD, MV cleft. Sinus Venosus ASD – high in the atrial septum, associated w/partial anomalous venous return & the least common. Atrial Septal Defect Secundum ASD Sinus Venosus ASD Atrial Septal Defect Clinical Signs & Symptoms Rarely presents with signs of CHF or other cardiovascular symptoms. Most are asymptomatic but may have easy fatigability or mild/


Thomas Hoy Department of Biomedical Engineering BME 273 Senior Design January 30, 2004.

septum Why should we care? Why should we care? Isolated secundum atrial septal defects of significance occur in approximately 70,000- 100,000 individuals today.Isolated secundum atrial septal defects of significance occur in approximately 70,000- 100,000 individuals today/Goh TH, Wilkinson JL. Prospective comparison of costs and short term health outcomes of surgical versus device closure of atrial septal defect in children. Heart 2002; 88:67-70. Hughes ML, Maskell G, Goh TH, Wilkinson JL. Prospective/


MR-Imaging in diagnosis and follow-up post corrective surgery of congenital heart disease A.G. Opitz¹, P. Fries¹, A. Lindinger², H.-J. Schaefers³, A. Buecker¹,

Closure: Good prognosis if closure age < 25 and PA pressure <40 Atrial Septal Defect (ASD) Sinus venosous defect Atrial Septal Defect (ASD) Four chamber view of Ostium secundum defect ( CINE Sequence ) Atrial Septal Defect (ASD) Four chamber view of Septum primum defect ( CINE Sequence ) Ebstein´s anomaly and Atrial Septal Defect (ASD) Four chamber view ( CINE Sequence ) Ventricular Septal Defect (VSD) Most common cardiac defect seen in infants and children (1.5-3.5 live births, 20% of CHD/


THE CARDIOVASCULAR SYSTEM. Objectives: The following lectures aim to teach the student about: Normal values of pulse rate in pediatrics Congenital heart.

Septal Defect (AV Canal)Atrioventricular Septal Defect (AV Canal) Patent Ductus Arteriosus (PDA)Patent Ductus Arteriosus (PDA) Atrial Septal Defect ASD is an opening in the atrial septum permitting free communication of blood between the atria. Seen in 10% of all CHD.ASD is an opening in the atrial septum permitting free communication of blood between the atria. Seen in 10% of all CHD. There are 3 major types: Secundum/


Cardiac Embryology for Imagers by John Partridge

subscribe to the feeling that the septum primum does not actually fenestrate, but that it and the septum secundum form eccentrically overlapping flanges. In any event, where the two cross in the middle is the oval fossa if they overlap completely, or is a secundum atrial septal defect if they leave a gap. I feel this orientation of the septa explains best why on transoesophageal/


Congenital Heart Disease in Adults. Background 8/1000 Live born births 32,000 cases/yr Liveborn prevalence lower than fetal prevalence – Fetal echo.

reach adulthood – Prevalence 800,000 adults in U.S. Focus on Adult congenital heart disease Atrial Septal Defect One third of adult patients with CHD F:M=2:1 Secundum (75%) Primum 15% Sinus Venosus 10% ASD ASD ASD ASD Associated Abnormalities MVP Cleft Mitral/(pulmonic) – usually so soft that it is mistaken for an “ innocent ” flow murmur. Flow across the atrial septal defect itself does not produce a murmur. ASD EKG Right-axis deviation Incomplete right bundle-branch block – R ’ > R in /


Alterations of Cardiovascular Function in Children Chapter 31 Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.

and lower pulmonary vascular resistance as compared to systemic vascular resistance Right atrial enlargement Right atrial enlargement  Often asymptomatic, diagnosed by murmur  Three major types Ostium primum defect Ostium primum defect Ostium secundum defect Ostium secundum defect Sinus venosus defect Sinus venosus defect Mosby items and derived items © 2010, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. 13 Atrial Septal Defect Mosby items and derived items © 2010, 2006 by Mosby, Inc., an/


Development of the Cardiovascular System. Contents  Establishment of the primordial cardio- vascular system  Development of the heart  Blood circulation.

common form of ASD is patent oval foramen. Consequently there is a mixing of oxygenated and deoxygenated blood. Atrial septal defect A.Perforation of valve of ovale foramen B.Excessive resorption of the septum primum C.Inadequate development of the septum secundum. D.B+C Endocardial cushion defect with septum primum defect Ventricular septal defect Muscular part of the ventricular septum: sparsely Membranous part of the ventricular septum/


Cardiac Malpositions PRESENTER : DR ANISH. Cardiac Malpositions  Terminology  Looping of heart.

straight heart tube initially bends rightward (d-loop) but fails to move into the left chest.  Congenital heart defects:  ventricular septal defect  left SVC to the coronary sinus  coarctation of the aorta  secundum atrial septal defect  anomalous pulmonary venous connections  complete AV septal defect  Clinical presentation depends on associated lesions  ECG  atrial activation is normal, and the P-wave frontal plane axis is 70 to 80  the frontal plane QRS/


Embryology Review.

=echocardiography Tx: Holes in the heart=surgery Tetralogy of Fallot= actually 5 things: VSD, PDA, pulmonary stenosis, RV hypertrophy, overriding aorta Cardiovascular Defects ASD (Atrial-septal defect) If foramen ovale and foramen secundum are not staggered, they cannot be closed when pressure forces the septum primum and septum secundum together at birth. The foramen ovale remains patent, blood shunts LeftRight This leads to Right sided/


Pediatric Cardiology for Physician Assistants

Factors: fever, anemia, anxiety  murmur SEM: think outflow HSM: VSD or AV Valve regurgitation 2 Atrial Septal Defect Incidence: Gender Ratio: Definition: atrial septal wall deficiency Types: Secundum Primum Sinus venosus Foramen ovale (PFO) Incidence: 6-10% of CHD Second most common heart defect Gender Ratio: Males:Females = 1:2 Atrial Septal Defect Lungs Body Atrial Septal Defect Presentation Spontaneous closure Infants & children (asymptomatic) Murmur Normal growth, Normal Activity Frequent URI Adults/


Cardiology Review 6/3/2009. A 28 yom is evaluated for palpitations. He reports a 5 year history of palpitations. These episodes used to occur once or.

2nd L intercostal and 2/6 holosystolic murmur at the apex and L sternal border. Fixes splitting of S2. Which is the most likely cause of the symptoms? secundum atrial septal defect primum atrial septal defect PFO sinus venosus atrial septal defect Fixed splitting of S2: hallmark of ASD Fixed splitting of S2: hallmark of ASD Exam: Exam: Parasternal impulse: R sided cardiac enlargement (also seen on CXR) Parasternal impulse/


CARDIOVASCULAR SYSTEM. The entire cardiovascular system – the heart, blood vessels, and blood cells – originate from the Mesodermal germ layer. The vascular.

shunt Transposition of great vessels Stenosis, coarctation Valvular anomalies Atrial Septal Defect There are two types of ASD: Primum type involves the endocardial cushions.Primum type Secundum type involves septum primum or septum secundumSecundum type ATRIAL SEPTAL DEFECT Ostium secundum type (90%) Ostium primum type Sinus venosus defect Persistent common atrioventricular canal DD: patent foramen ovale (25% adults) Secundum Type ASD Secundum Type ASD This type involves septum primum and/or/


DR DEFNE ÇÖL YEDİTEPE UNIVERSITY DEPARTMENT OF CHİLD HEALTH AND DİSEASES.

out of the heart Mixed blood flow Increased Pulmonary Blood Flow Defects Atrial septal defect Ventricular septal defect Patent ductus arteriosus Atrial Septal Defect İncidence: 5-10% Pathology:Classified according to location of defect: 1. Secundum atrial septal defect: 2. Sinus venosus atrial defect: 3. Primum atrial septal defect: Clinical Manifestations Small and moderate size atrial septal defects are typically asymptomatic. Larger defects result in pulmonary edema manifesting as easy fatigability and/


Pediatric Board Review 2014 Pediatric Cardiology

Pressures 120/80 25/15 <8 <5 120/<8 25/<5 ATRIAL SEPTAL DEFECT <8 <5 ATRIAL SEPTAL DEFECTS (ASD) Three types exist : primum, secundum and sinus venosus The most common is the secundum type Symptoms: None in childhood, arrhythmias in the 3 rd decade / following, the MOST likely diagnosis is: A. coarctation of the aorta B. complete atrioventricular septal defect C. patent ductus arteriosus D. Perimembranous VSD E. secundum ASD A. administer furosemide intravenously 2. A 5 day old infant born at 31 weeks /


Pediatric Board Review 2015 Pediatric Cardiology Prema Ramaswamy, M.D. Director, Pediatric Cardiology, Maimonides Infants and Childrens Hospital of Brooklyn.

Cardiac Pressures 120/<8 25/<5 <5 <8 120/80 25/15 ATRIAL SEPTAL DEFECT <5 <8 ATRIAL SEPTAL DEFECTS (ASD) Three types exist : primum, secundum and sinus venosus The most common is the secundum type Symptoms: None in childhood, arrhythmias in the 3 rd decade ASD/the following, the MOST likely diagnosis is: A.coarctation of the aorta B.complete atrioventricular septal defect C.patent ductus arteriosus D. Perimembranous VSD E.secundum ASD 2. A 5 day old infant born at 31 weeks gestation is on ventilatory /


Classification des cardiopathies congénitales. I - Physiopathologie : Chez le sujet normal, la petite et la grande circulation sont en série et leurs.

intraventricular septum that produces a left-to-right shunt, more severe with larger defects Atrial Septal Defect (ASD) A hole from a septum secundum or septum primum defect in the interatrial septum produces a modest left-to-right shunt Patent Ductus /intraventricular septum that produces a left-to-right shunt, more severe with larger defects Atrial Septal Defect (ASD) A hole from a septum secundum or septum primum defect in the interatrial septum produces a modest left-to-right shunt Patent Ductus /


Congenital Heart Diseases Charles University of Prague 2 nd Faculty of Medicine Filip Koubek.

sign) – Significant shunt – Qp/Qs >1,5 – Paradoxical embolism – (Planned pregnancy) – prevention of paradoxical embolism – Eisenmenger sy (severe PAH with high pulmonary vascular resistance) – contraindication of closure Atrial septal defect - treatment ASD secundum – (if possible catheterisation device closure is prefer) Atrial septal defect - treatment ASD primum – connected with cleft of anterior mitral leaflet with mitral regurgitation (mostly significant) - surgical treatment usually necessary/


Congenital heart disease (CHD) By : - Dr. Sanjeev.

.Ebstein anomaly 6.Pulmonary atresia 2. Without shunt Aortic stenosis Co-arctation of aorta Valvular regurgitation (AR,MR ) Pulmonary stenosis Tricuspid stenosis Atrial Septal Defect  Abnormal comunication between the two atria Three types : 1. Ostium secundum 2. Ostium primum 3. sinus venosus Ostium Secundum Atrial Septal Defect -  the most common type of ASD  - occurs in the center of the septum between the right and left atrium Ostium Primum/


Pediatric Board Review 2014 Pediatric Cardiology Prema Ramaswamy, M.D. Co-Director, Pediatric Cardiology, Maimonides Infants and Childrens Hospital of.

Cardiac Pressures 120/<8 25/<5 <5 <8 120/80 25/15 ATRIAL SEPTAL DEFECT <5 <8 ATRIAL SEPTAL DEFECTS (ASD) Three types exist : primum, secundum and sinus venosus The most common is the secundum type Symptoms: None in childhood, arrhythmias in the 3 rd decade ASD/the following, the MOST likely diagnosis is: A.coarctation of the aorta B.complete atrioventricular septal defect C.patent ductus arteriosus D. Perimembranous VSD E.secundum ASD 2. A 5 day old infant born at 31 weeks gestation is on ventilatory /


Dr. Ahmed Fathalla Ibrahim. EARLY DEVELOPMENT OF HEART in cardiogenic areaSplanchnic mesenchymal cells aggregate in cardiogenic area to form two angioblastic.

females Most common form:patent foramen ovaleMost common form: patent foramen ovale (due to incomplete adhesion between septum primum & secundum) ATRIAL SEPTAL DEFECT Other forms: 1.Ostium secundum defect: 1.Ostium secundum defect: due to defect in one or both septa 2.Endocardial cushions defects with ostium primum: 2.Endocardial cushions defects with ostium primum: septum primum does not fuse with cushions resulting in a patent forament primum 3.Sinus venosus/


Internal Medicine Board Review (from MKSAP 13) Cardiology

indicated if pulmonary to systemic shunt ratio of 1.7:1 or greater with evidence of right or left ventricular volume overload respectively. Location of types of Atrial Septal Defects Majority are secundum ASD second Most common Congenital defect Encountered in adults (bicuspid AV #1) More on ASD’s In absence of pulmonary vascular disease shunt is left to right resulting in RV volume overload/


Development of the Heart and Congenital Heart diseases SESSION 6.

opening  blood flows from left to right Acyanotic Examples Atrial Septal Defect Ventricular Septal Defect Patent Ductus Arteriosus Atrial Septal Defect Left to right shunt Hole atrial septum Blood move from the left atria to the right atria Caused by failure of closure of: foramen ovale Ostium secundum Ostium primum Leads to: Pulmonary hypertension Right ventricle overload RIGHT HEART FAILURE Ventricular Septal Defect Left to right shunt – Hole in intraventricular septum – Blood/


Congenital Heart Disease By Jonathan Phillips, D.O. Internal Medicine Lecture Series.

poor. M-mode M-mode — The M-mode echocardiogram usually shows right ventricular enlargement in moderate and large ostium secundum ASDs, and paradoxical motion of the interventricular septum TEE with contrast Cardiac catheterization Determination of the presence of an ASD /heart disease is: 1.ASD 2.VSD 3.Bicuspid aortic valve 4.Foramen ovale Question 3 Indication for closure of atrial septal defects is: 1.Systemic to pulmonary shunt ratio greater than 1.7 to 1. 2.Right ventricular volume overload 3.Pulmonary/


Cardiovascular System

13 2. Familial disorders 3. Teratogenic viral infections : Rubella Atrial Septal Defects (ASD) Probe patency of Foramen ovale Left to right shunt of blood Atrial Septal Defects (ASD) Ventricular Septal Defect 1 in 500 Trisomy syndrome 90% involve Membranous interventricular septum Shunted from left to right ventricle Ventricular Septal Defects Tetralogy of Fallot 1 in 8500 Four anomalies : 1. Ventricular septal defect 2. Pulmonary artery stenosis 3. Overiding aorta 4. Right ventricle/


CONGENITAL HEART DISEASE JOHN N. HAMATY D.O. FACC.

SPACE BETWEEN THE TWO SEPTUM IS OSTIUM PRIMUM, OR FIRST HOLE. FENESTRATIONS APPEAR IN CENTER LEADING TO SECOND HOLE- OSTIUM SECUNDUM. ATRIAL SEPTAL DEFECT ULTIMATE BALANCE BETWEEN PROLIFERATION AND ABSORPTION OF THE TWO SEPTA –FORAMEN OVALE. ATRIAL SEPTAL DEFECT SINUS VENOSUS DEFECT CHIARI NETWORK OSTIUM SECUNDUM OSTIUM PRIMUM ATRIAL SEPTAL DEFECT ERROR IN DEVELOPMENT IN DEPOSITION OR ABSORBTION, A COMMUNICATION RESULTS-ASD. IF HIGH IN SEPTUM NEAR SVC AND IF RT PULM/


CONGENITAL HEART DISEASE IN THE ADULT Maryam. Moradian pediatric cardiologist RAJAIE HEART CENTER.

…..may go undetected Small muscular VSD…may resolve spontaneously DTGA…shortly after birth.. Acyanotic Congenital Heart Disease with a Left-to-Right Shunt Atrial Septal Defect Ventricular Septal Defect Patent Ductus Arteriosus ….. Septal Defects: ASD 10%-17% of CHD More frequently in females (60%) ostium secundum type (The most common) (60%) ostium primum type(20%)(AVSD, MV cleft) sinus venosus type (PAPVC) ASD Location: Patent Foramen Ovale Anatomic/


CONGENITAL HEART DISEASE JOHN N. HAMATY D.O. FACC.

SPACE BETWEEN THE TWO SEPTUM IS OSTIUM PRIMUM, OR FIRST HOLE. FENESTRATIONS APPEAR IN CENTER LEADING TO SECOND HOLE- OSTIUM SECUNDUM. ATRIAL SEPTAL DEFECT ULTIMATE BALANCE BETWEEN PROLIFERATION AND ABSORPTION OF THE TWO SEPTA –FORAMEN OVALE. ATRIAL SEPTAL DEFECT SINUS VENOSUS DEFECT CHIARI NETWORK OSTIUM SECUNDUM OSTIUM PRIMUM ATRIAL SEPTAL DEFECT ERROR IN DEVELOPMENT IN DEPOSITION OR ABSORBTION, A COMMUNICATION RESULTS-ASD. IF HIGH IN SEPTUM NEAR SVC AND IF RT PULM/


Development of circulatory system

atresia Abnormality of circulatory system 1. Atrial septal defect 2. Ventricular septal defect 3. Abnormal compartmentation of truncus arteriosus 4. Patent ductus arteriosus Unclosed foramen ovale 1. Atrial septal defect Unclosed foramen ovale Reasons: ① Perforation of foramen ovale ① ② ② Over absorption of septum primum ③ Undeveloped septum secundum ④ = ② + ③ ③ ④ 2. Ventricular septal defect ②Muscular septal defect: sparsely ① Membranousr septal defect: commonly Reasons: ① Unfused endocardial cushion/


Congenital Heart Disease 1 Faculty of Medicine University of Brawijaya.

12 Of left to right shunt:  volume burden  dilatation/hipertrophy ASD VSDPDA Patofisiologi left to right shunt Atrial Septal Defect (ASD) 14 3 types of Atrial septal defect (1) Septum primum (ostium primum ASD)- this defect lies adjacent to atrioventricular valves, which are often also abnormal and incompetent (2) Septum secundum (ostium secundum ASD)- the most common form of ASD, it is midseptal in location 15 3 types of/


To Close or Not to Close (the PFO)? That is the Question Lorna Belsky, M.D. March 31, 2004.

. Physiology/Embryology 101 Before birth-foramen ovale open-blood flows from IVC  RA  LA After birth-Foramen ovale closes Septum primum fuses with Septum Secundum Atrial Septal Defects Ostium primum ASD-failure of septum primum to fuse with endocardial cushion. Ostium secundum ASD-inadequate development of septum secundum or excess resorption of septum primum Patent foramen ovale-inadequate fusion of the septum primum with the septum/


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large, will cause interatrial shunting of blood and hypertrophy of RV and pulmonary trunk Large ASD: 6 out of 10,000 births (0.06%) Atrial Septal Defects (ASD) Figure: Moore&Persaud 1998 Atrial Septal Defects (ASD) Incomplete fusion of septum primum and septum secundum large enough for a probe to pass through: Probe patent foramen ovale. Estimated to occur In about 25% of population. Figure: Moore&Persaud/


Congenital Heart Disease (CHD) By Alireza Pourtalebi.

Down syndrome, trisomy 18 and trisomy 13, Turner’s syndrome, Cri-du-chat syndrome Factors Contributing to CHD Relative Frequency of Congenital Heart Lesions Lesions% of all Lesions - Ventricular septal defect25-30 - Atrial septal defect (Secundum)6-8 - Patent ductus arteriosus6-8 - Coarctation of aorta5-7 - Tetralogy of Fallot5-7 - Pulomnary Valve Sterosis5-7 - Aortic Valve Stenosis4-7 - d-Transposition of great arteries3-5 - Hypoplastic/


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