Atrial septal defect

John E. Nolan, Tarina C. Parpia, Katherine A. Sanchez-Maldonado

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Atrial Septal Defect (ASD) is the third most common congenital heart defect. This chapter describes the clinical presentation and unique characteristics of ASD. It is important to recognize specific auscultative findings such as the fixed split S2, which is pathognomonic for ASD. This may be accompanied by a systolic flow murmur or an S3 heart sound, but these are more nonspecific findings. Other times patients can present with dyspnea or palpitations. This paper highlights the EKG and radiographic findings that are often used for diagnosis in conjunction with the physical exam. This paper also discusses ASD as a primary manifestation and as a part of a clinical syndrome. Additional physical exam findings are highlighted that should not be missed in patients with ASD. Finally, management of a patient with ASD including surgical correction is outlined as determined by certain characteristics including the size of the defect.

Original languageEnglish (US)
Title of host publicationLearning Cardiac Auscultation
Subtitle of host publicationFrom Essentials to Expert Clinical Interpretation
PublisherSpringer-Verlag London Ltd
Pages279-287
Number of pages9
ISBN (Electronic)9781447167389
ISBN (Print)9781447167372
DOIs
StatePublished - Jan 1 2015

All Science Journal Classification (ASJC) codes

  • General Medicine
  • General Nursing

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