Q. Do I require a surgery to patch my secundum atrial septal defect?

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 23, 2017 and last reviewed on: Aug 10, 2022

Hello doctor,

I am a 40-year-old male. I have been diagnosed with 3.3 cm secundum ASD in the right atrium. The catheterization process failed to patch the ASD and now the cardiologist is advising a surgical process. Is this correct? There are no symptoms of chest pain. No breathing or lifestyle issues. I am a normal adult and able to do a daily routine. I have cut down exercises after the ASD diagnosis too. The ASD was found during a recent diagnosis of a cardiac effusion that may not be related to the ASD. What is your opinion? I have attached images for your reference.



Welcome to

I have gone through the images (attachment removed to protect patient identity).

  • Yes, it is certainly possible. It is a large ASD (atrial septal defect). One can patch the ASD up to around 3.6 cm, but it also depends on multiple factors like rims available to hold the patch etc.
  • They must have evaluated the ASD in detail and have come to that conclusion. But the ASD is large and a closure should be done; otherwise, it may lead to pulmonary hypertension which is irreversible.

Hope this helps you and kindly get back if you have any doubts.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Is there a permanent cure for pulmonary hypertension?

Regular checkup with cardiologist for monitoring pulmonary artery pressure recommended ...   Read full

Kindly explain my wife's health problem with the help of echo report.

According to the echocardiogram, there is also right heart enlargement ... As advised in the echo report, she should undergo a TEE (transesophageal echocardiogram) to decide whether this defect c...   Read full

Lifestyle Modifications for Women's Health

This will improve your confidence, lead to an exchange of ideas, and allow you to know more about lifestyle issues of the people around you ...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.