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Atrial Septal Defect What is an atrial septal defect? The atria are the upper chambers of the heart. The septum is a wall that separates the left and right sides of the heart. An atrial septal defect means there is a hole in the septum (wall). When this occurs, there is an abnormal communication between the left and the right sides of the heart. This type of heart problem is the most common kind of inherited heart disease. It differs from most types of heart disease in that it often doesn't produce a significant number of symptoms. Atrial septal defects tend to occur more often in female than in male infants. What are the symptoms of an atrial septal defect? A large hole in the septum may produce the following symptoms: Weakness Breathing difficulties Pain in your chest Bluish skin color Irregular heartbeat What tests are needed? Your doctor will make the diagnosis of atrial septal defect based on your symptoms and a physical exam. Your doctor may also order any or all of the following tests: An electrocardiogram (ECG) A chest X-ray An echocardiogram He or she may also refer you to a specialist for additional tests. What treatment is needed? Usually, this condition is treated by surgically repairing the hole in the septum. Sometimes, medication is also given to treat some of the symptoms. Do Do take any medication prescribed by your doctor Do exercise, if your doctor says it is OK Don't Don't ignore the symptoms of an atrial septal defect; schedule an appointment with your doctor if you have the symptoms Don't smoke Recovery time You can expect a return to a normal lifestyle within a few weeks to a few months after the operation. What can be done to stop it from happening again? Follow your doctor's advice to ensure a full recovery and a return to a normal lifestyle. Further information on atrial septal defect can be found from: American Heart Association National Center 7272 Greenville Avenue Dallas, TX 75231 Tel: (1-800) 242-8721 Website: http://www.americanheart.org Children's Health Information Network: Congenital Heart Disease Website: Click here Reproduced with permission from PDxMD - Clinical Information for Quality Care - www.pdxmd.com