Author/Authors :
Adhikary, Asit Baran Bangabandhu Sheikh Mujib Medical University - Department of Cardiothoracic Surgery, Dhaka , Kamal, Sarwar National Institute of Cardiovascular Diseases - Department of Cardiovascular Surgery, Bangladesh , Saha, Sanjoy Kumar Al-Helal Institute ofHeart and Medical Science - Department of Cardiac Anesthesia, Bangladesh , Hossain, Aslam Bangabandhu Sheikh Mujib Medical University - Department of Cardiothoracic Surgery, Bangladesh , Quader, Abdul National Institute of Cardiovascular Diseases - Department of Cardiovascular Surgery, Bangladesh , Badruzzaman National Institute of Cardiovascular Diseases - Department of Cardiovascular Surgery, Dhaka , Chanda, Prasanta Kumar National Heart Foundation Research Institute, Bangladesh
Abstract :
Atrial septal defect is one of the common cardiacmalformations, approximately 6.7%1. Althoughthese malformation are often asymptomatic2, ifuncorrected they may lead to irreversiblepulmonary hypertension, progressively decliningcardiac function and early death3. Secundum atrialseptal defects occurs in 1 in 1500 live births,accounting for 10% to 15% of congenital heartdefects in children and 20% to 40% of defectsdiscovered in adults. A significant number of atrialseptal defects close spontaneously within the firstfew years of life, but spontaneous closure after age3 to 4 years is rare4. Report is documented that afew patients with atrial septal defect have survivedinto their 80’s5. However most without correctiondie in the 4th decade.75% patients were died by theage 50 and 90% by age 60. It is thereforerecommended that patients with atrial septal defect,even though who are asymptomatic should undergocorrection of the anomaly.
