Asd and vsd
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This document discusses non-surgical interventions for atrial septal defects (ASD) and ventricular septal defects (VSD). It describes the anatomy, causes, symptoms, and types of ASDs and VSDs. It also discusses percutaneous closure as a common non-surgical treatment for secundum ASDs using devices like the Amplatzer Septal Occluder. Percutaneous closure is presented as the preferred method over surgery for most centers. The document concludes by restating the core values of care, coordination, and providing the smoothest patient experience for complex congenital heart disease repairs.
Asd and vsd
- 1. Non Surgical intervention in ASD and VSD
- 2. ASD ASD
- 3. Atrial Septal Defect (ASD)
- 4. ASD • An atrialseptal defect (ASD) is a hole in the wall between the two upper chambers of your heart. • The condition is present from birth (congenital). • Smaller atrialseptal defects may close on their own during infancy or early childhood. • Large and long-standing atrialseptal defects can damage your heart and lungs. An adult who has had an undetected atrialseptal defect for decades may have a shortened life span from heart failure or high blood pressure in the lungs. Intervention is usually necessary to repair atrialseptal defects to prevent complications.
- 5. Causes of Atrial Septal Defect (ASD) • Doctors know that heart defects present at birth (congenital) arise from errors early in the heart development, but there is often no clear cause. Genetics and environmental factors may play a role. • An atrialseptal defect allows freshly oxygenated blood to flow from the left upper chamber of the heart (left atrium) into the right upper chamber of the heart (right atrium). There it mixes with deoxygenated blood and is pumped to the lungs, even though it is already refreshed with oxygen. • If the atrialseptal defect is large, this extra blood volume can overfill the lungs and overwork the heart. If not treated, the right side of the heart eventually enlarges and weakens. In some cases, the blood pressure in your lungs increases as well, leading to pulmonary hypertension.
- 6. Symptoms of Atrial Septal Defect (ASD) • Many babies born with atrialseptal defects do not have signs or symptoms. In adults, signs or symptoms may not develop until age 30 or later. • Your doctor may first uncover an atrialseptal defect during a regular checkup while listening to your heart using a stethoscope. Hearing a heart murmur may signal a hole in your heart. • Atrialseptal defects are often found when an ultrasound exam of the heart (echocardiogram) is done for another reason. • Signs and symptoms of atrialseptal defects develop once damage occurs to the heart and lungs. Infants with larger atrialseptal defects may have poor appetites and not grow as they should. Adults and infants may have signs of heart failure or arrhythmias.
- 7. When to seek medical advice for Atrial Septal Defect (ASD) : Poor appetite Failure to gain weight 2 1 Bluish Shortness of discoloration of 2 2 breath the skin Easy tiring Swelling of 2 skipped beats 2 legs, feet or abdomen
- 8. Morphology MORPHOLOGY Types of ASD: Ostium primum Ostium secundum Sinus venosus Coronary sinus defects ↑Left to right shunt: * left ventricular compliance↓ * left atrial pressure ↑
- 10. Percutaneous ASD closure • Percutaneous closure of an ASD is indicated for the closure of secundum ASDs with a sufficient rim of tissue around the septal defect so that the closure device does not impinge upon the SVC, IVC, or the tricuspid or mitral valvs. • The Amplatzer Septal Occluder (ASO) is commonly used to close ASDs. The ASO consists of two self-expandable round discs connected to each other with a 4 mm waist, made up of 0.004– 0.005´´ Nitinol wire mesh filled with Dacron fabric. • Percutaneous closure is the method of choice in most centres.
- 11. VSD VSD
- 12. Morphology MORPHOLOGY Four components of Septum: Membranous, inlet, trabecular, outlet (conal,infundibular) part. Types of VSD : Muscular VSD Membranous VSD Doubly committed subarterial VSD
- 15. Pathophysiology PATHPHYSIOLOGY Shunt Qp/Qs P/A systolic pressure ratio Restrictive VSD Small 1~1.4 <0.3 Moderately Moderate 1.4~2.2 0.3~0.66 restrictive VSD Nonrestrictive Large >2.2 >0.66 VSD Eisenmenger Right to <1 1 VSD left
- 17. Coarc Stent Repair
- 18. THE FUTURE IMPROVED CONTRAST AGENTS Interventional Real time 3-D imaging cath Improved Accuracy for Repair of Complex CHD Repair of Complex CHD
- 19. We Care Core Values • “We have a very simple business model that keeps you as the centre.” Having the industry’s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each of our hospitals, we provide you the smoothest and seamless care ever imagined.
- 20. Thank You CONTACT US: High Beam Global 209, Udyog Vihar, Phase – 1, Gurgaon. Mobile : +91-124-4879699 Phone: +91- 9990066728 E-mail: nandita.gupta@highbeamglobal.com Web address: www.highbeamglobal.com