My doughter aged 4 years with weight 17 kg. has ASD heart defect, here ecocardiogram Interpretation is - Fossa ovalis ASD(16x17cm), left to right shunt. Adequate rims. Mild TR. TR max PG=38mmHg. Mildly doming pulmonary valve. RVOT max PG=28 mmHg. Dilated RA and RV. RVIDd=2.6 cm, Normal ventricular function. Normal arch. Doctor advice for ASD device closure but we worried about it don`t know result or any side effect after device fixing so kindly advice if this ASD size can be recover naturally with age growth or its compulsory to go for ASD closer device.I`m writing this email with a hope to get complete advice.
You have a valid reason to worry about but ASD Device Closure is not so risky or complicated procedure. There are no long-term complications because of device. For your concern if closure is needed at all.as you have mentioned Rt heart dilation in your echocardiography report this indicates need of repair. SMALL ASD of less than 8\u00a0mm size usually heal by themselves but larger than 8\u00a0mm require closure either by device if suitable or by open surgery. I would advise go ahead with device if margins are adequate.