Abstract

Atrial septal defects are defects of the atrial septum. Patent foramen ovale is a small interatrial communication, where the septum primum and secundum overlap but fail to fuse. Ostium secundum atrial septal defect is characterized by an incomplete cover of the ostium secundum by the septum secundum. Ostium primum atrial septal defect is the result of incomplete fusion between the septum primum and the atrio-ventricular endocardial cushions. This malformation falls into the spectrum of the atrio-ventricular septal defects. Sinus venosus superior or inferior defects are characterized by the superior or inferior vena cava overriding the interatrial septum without its involvement. Coronary sinus defect is an abnormal communication between the coronary sinus and left atrium that is functionally equivalent to an interatrial communication. Treatment of atrial septal defects consists either in surgical, or in some patients, in transcatheter closure.

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