2022 Volume 38 Issue 4 Pages 229-233
Atrial septal defects (ASDs) are common congenital heart defects that can remain undiagnosed until adulthood among asymptomatic patients. However, due to the prolonged volume overload of the right heart and increased pulmonary arterial blood flow, ASDs in adult patients are often complicated by heart failure, atrial fibrillation, and/or pulmonary hypertension. Recent advancements in transcatheter ASD closure, catheter ablation of atrial fibrillation, and the intravenous and oral treatment of pulmonary hypertension have provided opportunities for the treatment of patients with complex ASD regardless of their age.