Atrial septal defect (ASD) is a defect in the interatrial septum permitting free communication of blood between the atria. Based on the location of the septal defect ASD can be classified into four types.
- Ostium secundum ASD is the commonest type of ASD which involves the fossa ovalis, in the mid-septal region. 20% of these cases are associated with mitral valve prolapse (MVP).
- Ostium primum type of ASD is rare, defect is near AV valves. The AV valves may also be deformed.
- Sinus venosus type is also rare, defect is seen high in the atrial septum near the entry of superior venacava (SVC).
- Coronary sinus type of ASD
Lutembacher's syndrome is a rare combination of ASD and rheumatic mitral stenosis.