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HomeAnswersInternal Medicineatrial septal defectIs surgery needed to patch my secundum atrial septal defect?

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

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At November 23, 2017
Reviewed AtJanuary 19, 2024

Patient's Query

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.

Hello,

Welcome to icliniq.com.

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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