Should we consider patent foramen ovale and secundum atrial septal defect as different steps of a single anatomo-clinical continuum

1 Introduction Isolated atrial septal defects (ASD) represent 7% of all cardiac anomalies and can present at any age. Adolescents and adults with simple congenital heart disease such as isolated atrial septal defects are more likely to reach adult age without being diagnosed. Secundum ASD (sASD) is...

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Published inJournal of geriatric cardiology : JGC Vol. 11; no. 3; pp. 177 - 179
Main Author Rigatelli, Gianluca
Format Journal Article
LanguageEnglish
Published China Section of Adult Congenital and Adult Heart Disease, Cardiovascular Diagnosis and Endoluminal Interventions, Rovigo General Hospital, Rovigo 45100 01.09.2014
Science Press
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Summary:1 Introduction Isolated atrial septal defects (ASD) represent 7% of all cardiac anomalies and can present at any age. Adolescents and adults with simple congenital heart disease such as isolated atrial septal defects are more likely to reach adult age without being diagnosed. Secundum ASD (sASD) is by far the most common type, occurring in 1/1500 live births, with 65% to 75% involving females, On the other hand, patent foramen ovale (PFO) represents an endemic variant in the normal population with a prevalence of 25%-27%. These two entities appear so different that is difficult to fred a conjunction ring: nevertheless we use the same philosophy for the treatment, Indeed, device-based closure has been proved to be effective in both settings.
Bibliography:Anatomy Atrial septal defect Echocardiography Patent foramen ovale
1 Introduction Isolated atrial septal defects (ASD) represent 7% of all cardiac anomalies and can present at any age. Adolescents and adults with simple congenital heart disease such as isolated atrial septal defects are more likely to reach adult age without being diagnosed. Secundum ASD (sASD) is by far the most common type, occurring in 1/1500 live births, with 65% to 75% involving females, On the other hand, patent foramen ovale (PFO) represents an endemic variant in the normal population with a prevalence of 25%-27%. These two entities appear so different that is difficult to fred a conjunction ring: nevertheless we use the same philosophy for the treatment, Indeed, device-based closure has been proved to be effective in both settings.
11-5329/R
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ISSN:1671-5411
DOI:10.11909/j.issn.1671-5411.2014.03.004