{"id":9730,"date":"2025-08-27T22:29:43","date_gmt":"2025-08-27T19:29:43","guid":{"rendered":"https:\/\/dryavuzbesogul.com\/asd-atriyal-septal-defekt-nedir\/"},"modified":"2025-09-02T11:07:28","modified_gmt":"2025-09-02T08:07:28","slug":"atrial-septal-defect-asd","status":"publish","type":"post","link":"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/","title":{"rendered":"Atrial Septal Defect (ASD) : Symptoms, Types &#038; Treatment"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Atrial septal defect (ASD) is a congenital heart anomaly characterized by an opening in the wall between the atria. This defect allows oxygenated and deoxygenated blood to mix, potentially causing enlargement of the right heart chambers over time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Small defects may remain asymptomatic, while larger ones can lead to fatigue, shortness of breath, and recurrent respiratory infections. If untreated, they may progress to pulmonary hypertension or heart failure in adulthood.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Diagnosis is usually made through echocardiography, which visualizes the septal defect and measures its size. Additional imaging or cardiac catheterization may be required for detailed assessment, especially before surgical planning.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Treatment depends on the size and impact of the defect. While small ASDs may close spontaneously, larger defects often require closure via catheter-based interventions or open-heart surgery to prevent long-term complications.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Other Names<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Atrial Septum Defect, Hole in the heart (between the atria)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Affected System<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Cardiovascular System (heart)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Causes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Congenital; septal closure defect in the fetal heart<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Types<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Secundum ASD (most common), Primum ASD, Sinus venosus type, Coronary sinus type<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Symptoms<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Usually asymptomatic in childhood; rapid fatigue, shortness of breath, palpitations, frequent respiratory tract infections in adults<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Diagnostic Methods<\/span><\/td>\n<td><span style=\"font-weight: 400;\">ECG, echocardiography (transthoracic or transesophageal), cardiac catheterization, MRI<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Complications<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Right heart failure, arrhythmias, stroke risk (paradoxical embolism), pulmonary hypertension<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Treatment Methods<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Small defects may be observed in infancy; immediate surgery when detected at older ages. Surgical repair is performed with a minimal incision in the armpit.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Age at Intervention<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It can be performed in symptomatic childhood, usually between 2-5 years of age in asymptomatic cases, and in adulthood in late cases<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Follow-up and Monitoring<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Echocardiography control in the first year postoperatively.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Prognosis<\/span><\/td>\n<td><span style=\"font-weight: 400;\">He is very well after the operation, he continues his normal life.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Yaz\u0131 \u0130\u00e7eri\u011fi<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#What_is_Atrial_Septal_Defect_and_How_Does_It_Affect_the_Heart\" >What is Atrial Septal Defect and How Does It Affect the Heart?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#How_Many_Different_Types_of_Atrial_Septal_Defects_Can_Be_Seen\" >How Many Different Types of Atrial Septal Defects Can Be Seen?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#Why_Does_Atrial_Septal_Defect_Occur_and_Who_is_at_Risk\" >Why Does Atrial Septal Defect Occur and Who is at Risk?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#What_are_the_Most_Common_Atrial_Septal_Defect_Symptoms\" >What are the Most Common Atrial Septal Defect Symptoms?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#Which_Methods_Are_Used_to_Diagnose_Atrial_Septal_Defect\" >Which Methods Are Used to Diagnose Atrial Septal Defect?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#What_Treatment_Options_Are_Available_for_Atrial_Septal_Defect\" >What Treatment Options Are Available for Atrial Septal Defect?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#After_ASD_Surgery\" >After ASD Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#What_happens_if_ASD_is_not_closed\" >What happens if ASD is not closed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#By_what_age_is_ASD_closed\" >By what age is ASD closed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#Does_ASD_prevent_military_service\" >Does ASD prevent military service?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#Does_ASD_cause_pain\" >Does ASD cause pain?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#What_is_an_ASD_murmur\" >What is an ASD murmur?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#How_many_mm_should_the_ASD_be\" >How many mm should the ASD be?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#ASD_or_VSD_more_dangerous\" >ASD or VSD more dangerous?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#Is_ASD_genetic\" >Is ASD genetic?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#How_is_ASD_diagnosed\" >How is ASD diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/dryavuzbesogul.com\/en\/atrial-septal-defect-asd\/#When_does_ASD_spontaneously_shut_down\" >When does ASD spontaneously shut down?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_is_Atrial_Septal_Defect_and_How_Does_It_Affect_the_Heart\"><\/span><b>What is Atrial Septal Defect and How Does It Affect the Heart?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_8145\" aria-describedby=\"caption-attachment-8145\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-8145\" src=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2019\/04\/Koltukaltindan-ASD-Gorunumu-300x400.jpeg\" alt=\"Koltukalt\u0131ndan ASD G\u00f6r\u00fcn\u00fcm\u00fc\" width=\"300\" height=\"400\" srcset=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2019\/04\/Koltukaltindan-ASD-Gorunumu-300x400.jpeg 300w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2019\/04\/Koltukaltindan-ASD-Gorunumu.jpeg 448w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-8145\" class=\"wp-caption-text\">ASD View from the Armpit<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">To fully grasp this, let&#8217;s take a look at the magnificent architecture of our heart. You can think of the heart as a two-storey house with two separate apartments next to each other. On the upper floors of this house are the &#8220;atria&#8221; (atria) and on the lower floors are the &#8220;ventricles&#8221; (ventricles). The chamber on the right side of the house circulates around the body, collects tired, deoxygenated blood and sends it to its next-door neighbor, the lungs, to be cleaned. Freshened with oxygen in the lungs, the blood returns to the apartment on the left side of the house, where it is pumped vigorously and distributed throughout the body.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Between these two circles, between the right and left sides of the heart, there is a thick wall that prevents the mixing of clean and dirty blood. In medicine, we call this wall the septum. The answer to the question of what is the heart septum is the wall of the heart that separates this life. Atrial Septal Defect is a hole in the wall (atrial septum) between the atria, which are the upstairs rooms of this house. So when asked what a s d means, the answer is the hole in the wall between the atria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">What causes this hole? The pressure on the left side of the heart is always higher than on the right side. Because of this pressure difference, some of the oxygen-rich clean blood that should normally go to the whole body escapes through this hole to the right side. This abnormal passage of blood causes dirty blood to mix with clean blood coming into the right atrium, and the total amount of blood sent to the lungs becomes much higher than normal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is similar to a water pump designed for watering a garden, trying to water the garden and fill the pool at the same time. The pump (the right side of the heart) has to work much harder than normal. Over the years, this extra load tires and expands the pump&#8217;s motor and degrades its performance over time. This is exactly what ASD does to the heart. The right side of the heart gradually becomes larger and fatigued, and in the long term leads to increased pressure in the pulmonary arteries (pulmonary hypertension) and heart failure.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Many_Different_Types_of_Atrial_Septal_Defects_Can_Be_Seen\"><\/span><b>How Many Different Types of Atrial Septal Defects Can Be Seen?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The Atrial Septal Defect cases we encounter differ according to the location of the hole on the atrial septum. This classification plays a critical role in determining our treatment approach. The main types of ASD are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Secundum ASD<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Primum ASD<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sinus Venosus ASD<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coronary Sinus Defect<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Let&#8217;s take a closer look at what these types mean. <\/span><a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/circulationaha.105.592055\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Secundum ASD is the most common type, accounting for more than three quarters of all cases.<\/span><\/a><span style=\"font-weight: 400;\"> The location of the hole is right in the middle of the septum. The most important feature of this type is that it is usually not associated with another heart abnormality and, in structurally appropriate cases, it is highly amenable to catheter closure, popularly known as the &#8220;umbrella method&#8221;. This is a great comfort and advantage for patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Primum ASD is located in the lower part of the septum, very close to the valves between the upper and lower chambers of the heart. Because of this location, it is often found in combination with additional valve problems, such as a mitral valve defect. Therefore, its treatment always requires surgical repair, during which both the hole is closed and the problem with the valve is corrected.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sinus Venosus ASD is a rarer type. It is located at the upper or lower end of the septum, near the entrance to the large veins (vena cava) that bring the main blood supply to the heart. An important feature of this type of ASD is that one or more of the veins carrying clean blood from the lungs often mistakenly open into the right atrium instead of the left (abnormal pulmonary venous return). This additional condition necessitates surgical repair and these vessels need to be directed to the correct location during surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finally, the rarest type, Coronary Sinus Defect, is usually seen as part of much more complex congenital heart diseases and its treatment is planned according to this complex condition.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is also Patent Foramen Ovale (PFO), which is often confused with ASD. PFO is when a natural valve, which is present in every baby in the womb and should close at birth, remains open. PFO is not a true tissue defect, a hole, like ASD. This condition, which occurs in about a quarter of the population, is usually innocent and does not require treatment.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Does_Atrial_Septal_Defect_Occur_and_Who_is_at_Risk\"><\/span><b>Why Does Atrial Septal Defect Occur and Who is at Risk?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Atrial septal defect, a hole in the atrial septum between the atria of the heart[\/caption<br \/>\n<span style=\"font-weight: 400;\">First of all, the most important point must be emphasized: Atrial Septal Defect is not caused by a mistake made by the mother or father. It is a defect that occurs during the development of the baby in the womb, at a very delicate stage in the formation of the heart. Although the exact causes are often unknown, it is thought that certain factors may increase this risk.<\/span><br \/>\n<span style=\"font-weight: 400;\">Genetic factors can play an important role. A family history of congenital heart disease may slightly increase the risk. In addition, babies with certain genetic syndromes such as Down syndrome and Holt-Oram syndrome are more likely to have ASD.<\/span><br \/>\n<span style=\"font-weight: 400;\">Some conditions that the mother encounters during pregnancy can also affect the development of the baby&#8217;s heart, increasing the risk slightly. Some of these factors:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Rubella infection<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Uncontrolled diabetes<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Autoimmune diseases such as lupus<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Some antiepileptic drugs<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Lithium-containing drugs<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Alcohol consumption<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Smoking<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Drug use<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_Most_Common_Atrial_Septal_Defect_Symptoms\"><\/span><b>What are the Most Common Atrial Septal Defect Symptoms?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Symptoms of ASD vary greatly depending on the size and type of hole and, most importantly, the age of the person. A small hole can remain unnoticed for a lifetime, while a large hole can cause significant symptoms over time. For this reason, it is more accurate to analyze the symptoms under two separate headings: childhood and adulthood.<\/span><br \/>\n<span style=\"font-weight: 400;\">During infancy and childhood, especially if the hole is large, here are some of the symptoms that an Atrial Septal Defect can show:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Quick fatigue<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Shortness of breath (especially during activity)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Inadequate weight gain<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Slow growth<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Recurrent lung infections (bronchitis, pneumonia)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Feeding difficulties (in infants)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Audible heart murmur<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The most common finding in children is a &#8220;murmur&#8221; heard with a stethoscope during a routine examination. This abnormal sound is often the first sign that leads a family to a pediatric cardiologist. Other symptoms indicate that the heart and lungs are struggling to cope with the increased blood flow. Growth retardation and failure to gain weight can occur because the energy the body needs for growth and development goes to the heart, which is constantly working overtime. The constant &#8220;wetness&#8221; of the lungs makes them more prone to infections.<\/span><br \/>\n<span style=\"font-weight: 400;\">Atrial Septal Defect, which can progress without symptoms for years, usually manifests itself in adulthood with the following complaints:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Shortness of breath with exertion<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Chronic fatigue<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Palpitations<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Irregular heartbeat<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Swelling in the feet, legs or abdomen (edema)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Susceptibility to stroke<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Migraine headaches<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Bruising of the lips (in advanced cases)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These symptoms in adulthood are a sign that the heart and lungs can no longer withstand the strain they have been under for years. The most common complaints are breathlessness, even when climbing stairs or doing simple housework, and a constant state of exhaustion throughout the day. Palpitations and arrhythmias, especially after the 40s, are the result of the atria of the heart stretching and enlarging over the years. Swelling in the feet is an important warning sign of the onset of right heart failure.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_Methods_Are_Used_to_Diagnose_Atrial_Septal_Defect\"><\/span><b>Which Methods Are Used to Diagnose Atrial Septal Defect?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When ASD is suspected, we perform a series of evaluations to confirm the diagnosis and plan treatment properly. This process is similar to detective work, with each test completing an important piece of the puzzle.<\/span><br \/>\n<span style=\"font-weight: 400;\">The diagnostic journey usually starts with physical examination. When we listen to the heart with a stethoscope, findings such as &#8220;fixed paired second heart sound&#8221; and &#8220;systolic murmur&#8221;, which are very typical for ASD, are the first clues that point us in the right direction.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, the most valuable method that confirms the diagnosis and draws our roadmap is Echocardiography (ECHO), an ultrasound of the heart. This painless and radiation-free test provides a detailed map of the heart. With a standard ECHO (Transthoracic ECHO) through the chest wall, we can clearly see the presence, location and size of the hole, how dilated the chambers of the heart are and how much blood is passing through the hole. Sometimes, especially in adults or when catheter closure is planned, Transesophageal Echocardiography (TEE) through the esophagus may be needed to get clearer images. This method gives us invaluable information to assess the edge structure of the hole and whether the closure device can be placed safely.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although echocardiography largely confirms the diagnosis, additional tests may be needed to fully assess the condition:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Electrocardiogram (ECG)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Chest X-ray (Chest X-ray)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Cardiac Magnetic Resonance (MRI)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Computed Tomography (CT)<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Cardiac Catheterization<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">An ECG records the electrical activity of the heart, showing rhythm disturbances or overload on the right side of the heart. A chest X-ray gives an idea of the overall size of the heart and increased blood supply to the pulmonary vessels. Cardiac MRI or CT is used to measure the volume and function of the heart chambers very precisely, especially when the anatomical structure is complex or echocardiography is inadequate.<\/span><br \/>\n<span style=\"font-weight: 400;\">Cardiac Catheterization is an interventional procedure. We use it before deciding on treatment, especially in older patients or in patients with suspected pulmonary hypertension. In this procedure, thin tubes are inserted into the heart through a vein in the groin and the intracardiac pressures and oxygen levels in the blood are measured directly. This gives us the most precise information about whether closing the hole would be beneficial or harmful for the patient.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Treatment_Options_Are_Available_for_Atrial_Septal_Defect\"><\/span><b>What Treatment Options Are Available for Atrial Septal Defect?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<figure id=\"attachment_8144\" aria-describedby=\"caption-attachment-8144\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-8144 size-medium\" src=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2019\/04\/ASD-Yama-ile-kapatilmis-hali-300x400.jpeg\" alt=\"ASD Yama ile kapat\u0131lm\u0131\u015f hali\" width=\"300\" height=\"400\" srcset=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2019\/04\/ASD-Yama-ile-kapatilmis-hali-300x400.jpeg 300w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2019\/04\/ASD-Yama-ile-kapatilmis-hali.jpeg 397w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-8144\" class=\"wp-caption-text\">ASD Covered with patch<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">When an atrial septal defect is diagnosed, regardless of age, the treatment is surgical. It is rarely closed with a very small asd catheter and metal plates called the umbrella method. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Observation and Medical Monitoring<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is known that some of the very small holes (less than 4 mm) detected in infancy close spontaneously within the first few years. In this case, it is sufficient to invite the patient for cardiology check-ups at regular intervals and monitor the situation closely.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Complications such as displacement of the device, abrasion of the heart wall, clot formation or rhythm problems can occur with the Umbrella with Catheter method. Therefore, it is vital to choose the right patient and have the procedure performed by an experienced team. Blood thinners (such as aspirin) are usually used for 6 months after the heart umbrella is implanted, until the device is covered with tissue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Surgical Treatment<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Surgical repair remains the gold standard and definitive solution for patients who are not amenable to catheterization or who have additional cardiac problems. ASD types such as primum, sinus venosus or secundum ASDs that are too large to be closed by catheter or have insufficient margin tissue are treated surgically.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Today, minimally invasive surgery is performed in the armpit to access the heart and, with the support of a heart-lung machine, the hole is closed either directly with sutures or with a synthetic patch or a patch made from the patient&#8217;s own heart membrane.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Risks &#8220;Is there a risk of death with heart hole surgery?&#8221; is a major concern for families. In experienced centers, the risk of surgery to repair an isolated ASD in a patient with no other serious health problems is extremely low (less than 0.5%). This risk may be even lower than the risk of appendectomy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The timing of treatment is also important. Generally, it is preferable to close the hole before school age (between 3-5 years), before irreversible changes in the heart and lungs begin. However, when diagnosed in adulthood, surgery is recommended immediately. What Problems Can an Untreated Atrial Septal Defect Cause?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While small and insignificant holes are usually not a problem, an untreated medium to large Atrial Septal Defect can lead to serious and life-threatening complications in the long term. Therefore, closing a significant hole, even if there are no symptoms, is a proactive health investment. The main problems that can be encountered when left untreated are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Right Heart Failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pulmonary Hypertension (Lung Hypertension)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eisenmenger Syndrome<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart Rhythm Disorders (Arrhythmias)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paradoxical Embolism (Stroke Risk)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased Life Expectancy<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Right heart failure occurs when the right ventricle, which is constantly overworked, gradually tires and loses its contractile strength, leading to fluid accumulation in the body (edema), shortness of breath and severe weakness. Pulmonary hypertension is the hardening and narrowing of the pulmonary vessels as a result of the constant pumping of blood at high pressure into the lungs. When this condition progresses, the pressure in the right heart exceeds that in the left heart and the direction of blood flow reverses. This is called Eisenmenger&#8217;s Syndrome and it is no longer possible to close the hole after this stage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rhythm disturbances, especially atrial fibrillation, are very common in patients over the age of 40 with untreated ASD. This condition, caused by enlarged and malformed atria, leads to palpitations and, more importantly, to the formation of clots inside the heart. Paradoxical embolism is when small clots that form in places such as the veins of the legs pass through the ASD hole and travel to the brain, causing a stroke. All these complications can negatively affect life expectancy in individuals with untreated significant ASD.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"After_ASD_Surgery\"><\/span><span style=\"font-weight: 400;\">After ASD Surgery<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Recovery Time<\/span><\/td>\n<td><span style=\"font-weight: 400;\">usually 10-15 days after closed minimally invasive surgery <\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Type of Surgery<\/span><\/td>\n<td><span style=\"font-weight: 400;\">repair with closed heart surgery or closure with a catheterized device (percutaneous method).<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Physical Activity<\/span><\/td>\n<td><span style=\"font-weight: 400;\">limited activity in the first weeks; return to normal activity is possible in a short time after catheterization.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Medication Use<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Anticoagulants (especially if a device is implanted), aspirin, rhythm regulators can be used on doctor&#8217;s recommendation.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Rhythm Monitoring<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rhythm disorders (especially atrial fibrillation) can be monitored; ECG and Holter monitoring are performed.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Imaging and Control<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Cardiac function is monitored after closure by regular echocardiography; more frequent in the first year.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Complications<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rhythm disturbances, device displacement (umbrella method), pericarditis, rarely residual shunt.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Wound and Catheter Site Care<\/span><\/td>\n<td><span style=\"font-weight: 400;\">After minimally invasive surgery or inguinal catheter site should be kept clean and dry.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Nutrition<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No special diet may be required, but a heart-healthy diet is recommended.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Smoking and Alcohol<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Smoking is strongly discouraged; alcohol consumption should be limited.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Sexual Activity<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It can usually be started within 2-4 weeks once physical competence is achieved.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Psychological Support<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Support may be needed for psychological adaptation, especially in individuals who had surgery at a young age.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Vehicle Use<\/span><\/td>\n<td><span style=\"font-weight: 400;\">It can usually be started 2-4 weeks after open surgery and 1 week after percutaneous intervention.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Controls<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Regular cardiology check-ups are recommended during the first year and annually thereafter.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- Shortcode [comment-price-doctor] does not exist -->\n<h2 class=\"accordion_title\"><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2><div class=\"accordion\">\n\t<div id=\"accordion-3290507239\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3290507239-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-happens-if-asd-is-not-closed?\" aria-expanded=\"false\" aria-controls=\"accordion-3290507239-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"What_happens_if_ASD_is_not_closed\"><\/span>What happens if ASD is not closed?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3290507239-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3290507239-label\">\n\t\t\t\n<p>Over the years, an ASD (hole between the upper chambers of the heart) tires and enlarges the right side of the heart and the pulmonary artery. In later life, it can lead to serious problems such as arrhythmias, heart failure and high pulmonary blood pressure. Early intervention is the best way to protect your heart.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2530370345\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2530370345-label\" class=\"accordion-title plain\" href=\"#accordion-item-by-what-age-is-asd-closed?\" aria-expanded=\"false\" aria-controls=\"accordion-2530370345-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"By_what_age_is_ASD_closed\"><\/span>By what age is ASD closed?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2530370345-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2530370345-label\">\n\t\t\t\n<p>Most small ASDs can close spontaneously within the first 2 years of life. This is why we usually prefer to monitor them. After the age of two, large ASDs are very unlikely to close spontaneously and often require intervention.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3606738753\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3606738753-label\" class=\"accordion-title plain\" href=\"#accordion-item-does-asd-prevent-military-service?\" aria-expanded=\"false\" aria-controls=\"accordion-3606738753-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Does_ASD_prevent_military_service\"><\/span>Does ASD prevent military service?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3606738753-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3606738753-label\">\n\t\t\t\n<p>It depends on the size of the ASD and its effect on the heart. Small ASDs that do not affect the heart may not prevent military service. However, if the heart is enlarged or has significant problems, the ASD is usually considered a disqualification for military service. For ASDs that are successfully closed, a detailed evaluation is performed again.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4171510996\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4171510996-label\" class=\"accordion-title plain\" href=\"#accordion-item-does-asd-cause-pain?\" aria-expanded=\"false\" aria-controls=\"accordion-4171510996-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Does_ASD_cause_pain\"><\/span>Does ASD cause pain?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-4171510996-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4171510996-label\">\n\t\t\t\n<p>ASD does not directly cause pain. The most common complaints are fatigue, shortness of breath or palpitations. If you have chest pain, other causes should be investigated.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2027549536\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2027549536-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-an-asd-murmur?\" aria-expanded=\"false\" aria-controls=\"accordion-2027549536-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"What_is_an_ASD_murmur\"><\/span>What is an ASD murmur?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2027549536-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2027549536-label\">\n\t\t\t\n<p>The murmur heard in ASD is a soft, characteristic sound made by ascending blood as it passes through the pulmonary artery. This sound is the typical first clue of ASD and is confirmed by echocardiography (ECHO).<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2974386405\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2974386405-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-many-mm-should-the-asd-be?\" aria-expanded=\"false\" aria-controls=\"accordion-2974386405-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"How_many_mm_should_the_ASD_be\"><\/span>How many mm should the ASD be?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2974386405-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2974386405-label\">\n\t\t\t\n<p>The ideal is zero mm, but what really matters is the load the hole places on the heart and whether the chambers are enlarged. In general, ASDs that exceed 8-10 mm or cause heart enlargement require treatment.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3904666721\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3904666721-label\" class=\"accordion-title plain\" href=\"#accordion-item-asd-or-vsd-more-dangerous?\" aria-expanded=\"false\" aria-controls=\"accordion-3904666721-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"ASD_or_VSD_more_dangerous\"><\/span>ASD or VSD more dangerous?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3904666721-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3904666721-label\">\n\t\t\t\n<p>The danger of each varies according to size and location. VSDs can cause problems earlier in infancy, while ASDs can progress insidiously over the years and cause problems later in life. Both require specialist follow-up.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2907942913\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2907942913-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-asd-genetic?\" aria-expanded=\"false\" aria-controls=\"accordion-2907942913-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"Is_ASD_genetic\"><\/span>Is ASD genetic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2907942913-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2907942913-label\">\n\t\t\t\n<p>Most ASDs occur by chance, but sometimes they run in families. If you have a first-degree relative with ASD, your risk may increase slightly, but there is no rule that it will be certain.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1599820854\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1599820854-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-asd-diagnosed?\" aria-expanded=\"false\" aria-controls=\"accordion-1599820854-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"How_is_ASD_diagnosed\"><\/span>How is ASD diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1599820854-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1599820854-label\">\n\t\t\t\n<p>First, a typical murmur is heard on examination. The definitive diagnosis is made by echocardiography (ECHO). ECHO is a painless ultrasound test that shows the location and size of the hole and its effect on the heart.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1119714043\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1119714043-label\" class=\"accordion-title plain\" href=\"#accordion-item-when-does-asd-spontaneously-shut-down?\" aria-expanded=\"false\" aria-controls=\"accordion-1119714043-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"When_does_ASD_spontaneously_shut_down\"><\/span>When does ASD spontaneously shut down?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1119714043-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1119714043-label\">\n\t\t\t\n<p>Small ASDs, especially in the middle wall (secundum ASD), usually close within the first 1-2 years of life. Large or different types of ASDs usually do not close spontaneously and require treatment.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Atrial septal defect (ASD) is a congenital heart anomaly characterized by an opening in the wall between the atria. This defect allows oxygenated and deoxygenated blood to mix, potentially causing enlargement of the right heart chambers over time. Small defects may remain asymptomatic, while larger ones can lead to fatigue, shortness of breath, and recurrent [&#8230;]\n","protected":false},"author":7,"featured_media":8914,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[244,234],"tags":[246],"class_list":["post-9730","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-uncategorized","tag-kalp-deligi-en"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/9730","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/comments?post=9730"}],"version-history":[{"count":2,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/9730\/revisions"}],"predecessor-version":[{"id":13505,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/posts\/9730\/revisions\/13505"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media\/8914"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/media?parent=9730"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/categories?post=9730"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/en\/wp-json\/wp\/v2\/tags?post=9730"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}