Is atrial septal defect 4 mm serious

summary

A few days ago, when I took my child to have a physical examination, the physical examination sheet said that the atrial septal defect was 4mm, because I went to the doctor for some consultation. Now I'll share with you whether the atrial septal defect is 4mm serious.

Is atrial septal defect 4 mm serious

First, atrial septal defect (ASD) 4mm is a small problem and does not require surgery or interventional treatment (in the United States, interventional treatment is limited to muscular ventricular septal defect and patent ductus arteriosus).

Second, if it's an infant, it's recommended to have a regular review and a cardiac ultrasound once a year. If there is a significant trend, it's recommended to have an operation at the age of four, because the child has a memory of things after the age of four. The success rate was nearly 100%. There was no sequelae after the operation.

Third, there are views that need to be treated. The following conditions need surgical treatment: ① right to left shunt was confirmed by TTE or tee when right to left shunt was accompanied or when Valsalva was activated by intravenous contrast echocardiography. ② Complicated with cerebral embolism of unknown cause. ③ Combined with unexplained TIA or intracranial ischemic lesions. ④ Combined with unexplained extracranial thromboembolism. ⑤ Cerebral infarction caused by venous thrombosis.

matters needing attention

Good results have been achieved in the surgical treatment of atrial septal defect. The growth and development of the children after operation are normal, and they can be engaged in normal work and labor. The mortality rate of operation is lower than 1%, so parents should not worry too much and actively treat their children.