ASD = Atrial septal defect

Question 1

ASD Defect in the

Answer 1

inter-atrial septum:
*ostium secundum (most common )70%
in center of the septum
*ostium premium
in the lower part of septum (less common)

Question 2

murmur

Answer 2

• Wide fixed/permanent splitting of S2
  *(fixed/permanent =not changing with respiration )
  (s2=closure of P/A)

Question 3

Diagnosis

Answer 3

Definitive – Echo
ECG, CXR (supportive)

Question 4

Complications

Answer 4

1. Paradoxical emboli
2. HF
   (paradoxical=from vein to artery)

Question 5

Treatment

Answer 5

• usually no treatment required
  [ close by itself] unless
  the child reach 1 years without closure→
  surgical repair [Catheterization ]