The treatment of atrial septal defects in congenital heart disease mainly includes interventional occlusion therapy and atrial septal defect repair therapy under extracorporeal circulation.
Atrial septal defect is just a common and simple type of congenital heart disease, which is divided into primary foramen ovale type and secondary foramen ovale type, and the more complicated complete atrial septal defect can also be called endocardial cushion defect.
Many newborns can be found to have atrial septal defects on cardiac ultrasound, but most of them can be closed before the age of half a year, so most of them do not need to be treated.
A small number of newborns require early surgical repair of atrial septal defects due to abnormalities in heart and lung development.
In a few cases, the defect is still present after three years of age, and the choice of whether and when to treat it is made on an individual basis:
Simple central defects with appropriate borders can be treated minimally invasively with a sealer through the right atrium or femoral vein;
If there are no appropriate borders or the porous type cannot be occluded, extracorporeal circulation surgery is needed to repair the atrial septal defect.