Heart Hole in Adults, Symptoms and Treatment Methods

Cardiac perforation in adults is one of the most common congenital heart diseases. Cardiac perforation is a problem that occurs as a result of the wall between the atria or the wall between the ventricles not completely closing in the womb. This hole may be noticed at birth or after birth, but sometimes it may not be noticed until the age of 40-50. It may occur in echocardiography performed in the forties of the patient as a result of complaints such as shortness of breath and palpitations. While the hole between the atria is called Atrial Septal Defect (ASD), the hole between the ventricles is called Ventricular Septal Defect (VSD). In both cases, clean blood from the left side of the heart passes to the right side and mixes with dirty blood, increasing the amount of blood going to the lungs. Therefore, heart holes can cause some lung problems and heart problems such as heart failure and heart enlargement. It is extremely important to diagnose the disease at an early stage and apply the necessary treatment.

Article Content 
  1. What is a Heart Hole?
  2. Heart Hole Symptoms in Adults
  3. Heart Hole Diagnosis in Adults
  4. Causes of Heart Hole in Adults
  5. Heart Hole Treatment Methods in Adults
  6. Heart Hole Surgery in Adults

1. What is a Heart Hole?

Cardiac perforation is a congenital heart disease that occurs as a result of the wall between the atria or ventricles of the heart not closing completely. In a normal heart structure, the right side of the heart deals with dirty blood and the left side deals with clean blood, and clean blood and dirty blood do not mix. In heart hole disease, clean blood from the left side of the heart passes to the right side of the heart due to a hole in the atrium or ventricle. Therefore, clean blood mixes with dirty blood and the amount of blood sent to the lungs increases. Hole in the heart is a disease that, if left untreated, impairs the quality of life and can cause different problems. Sometimes it manifests itself with symptoms, and sometimes it can be noticed years later in adulthood without any symptoms.

2. Heart Hole Symptoms in Adults

  • difficulty breathing
  • Difficulty walking
  • Palpitation

Heart Disease in Adults

3. Heart Hole Diagnosis in Adults

Diagnosis of cardiac perforation in adults is made by echocardiography.

 

4. Causes of Heart Hole in Adults

The cause of cardiac perforation in adults is the incomplete closure of the interatrial wall or the interventricular wall in the womb. This disease, which can continue without symptoms during childhood, may occur with some problems in adulthood. Therefore, when the disease is detected, it must be treated.

 

5. Heart Hole in AdultsDavi Methods

In the treatment of heart hole seen in adults; Heart holes can be closed with medication, non-surgical interventional methods or, if necessary, surgical intervention. Non-surgical heart hole treatment is based on the principle of accessing the heart by entering through the groin and closing the holes using a closing device. Another method used in open surgery is minimally invasive surgery. With the minimally invasive surgical technique, cardiac puncture surgery can be performed successfully through small incisions on the side of the chest and under the armpit, without splitting the chest in the middle and cutting the sternum. In this method, the heart is reached between the ribs and the procedure is performed without cutting the bone or damaging the tissues. With minimally invasive cardiac surgery, the heart hole is repaired with small interventions from the armpit, side of the chest or under the breast. They are sewn opposite each other or a new patch is made there and the hole is closed. After the necessary tests, analyzes and evaluations are carried out by the specialist physician, the most appropriate treatment method must be decided.

 

6. Heart Hole Surgery in Adults

In cases where the heart hole cannot be treated with medication or non-surgical interventional methods, heart hole surgery, that is, surgical intervention, can be used. Heart holes can be successfully closed and treated with minimally invasive surgery, also known as the closed method among the public. With minimally invasive cardiac surgery, the heart hole is repaired with small interventions from the armpit, side of the chest or under the breast. They are sewn opposite each other or a new patch is made there and the hole is closed.

What Causes a Heart Hole?

There are two congenital and non-congenital causes of heart hole:

Congenital heart hole: These are holes that form in the right and left chambers of the heart and do not close after birth, although they should.

Non-congenital heart hole: It is the formation of a hole in the middle as a result of the destruction of the area between the two ventricles after an infarction.

What are the Symptoms of Heart Hole in Babies?

A hole in the heart may not cause any serious symptoms in infancy and may only appear in adulthood. However, the following symptoms may be observed in babies born with a hole in the heart:

  1. Getting tired quickly while breastfeeding,
  2. Bruising around the lips and face,
  3. Inability to gain weight,
  4. Respiratory rate too high
Does the Heart Hole Close on Its Own?

If the heart hole develops congenitally, there is a possibility of its closure in early childhood. However, if the heart hole does not close spontaneously, treatment should not be delayed. Failure to make early diagnosis and treatment causes increased lung pressure and rhythm disturbances.

What should those with a hole in their hearts pay attention to?

Although the precautions to be taken in babies, children and adults with a hole in the heart vary, the general points to be taken into consideration are as follows:

  1. Avoiding doing strenuous activities,
  2. Paying attention to hygiene,
  3. Trying to protect yourself from diseases by paying attention to nutrition and sleep,
  4. Staying away from poorly ventilated areas
  5. Be careful that the environment is not too hot or cold

 

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