Defek Septum Atrium

PJB Asianotik
Shunt dari Atrium
Kiri ke Kanan

ASD

Ostium primum is the next most common type

and is located in the lower portion of the atrial
septum. This type of ASD often will have a
mitral valve defect associated with it called a
mitral valve cleft. A mitral valve cleft is a slitlike or elongated hole in one of the leaflets
( anterior leaflet) that form the mitral valve.

Normal heart for comparison

A sinus venosus defect is the least common type of

ASD and is located in the upper portion of the atrial
septum. A sinus venosus ASD often has an abnormal
pulmonary vein connection associated with it. Four
pulmonary veins, two from the right lung and two
from the left lung, normally return red blood to the
left atrium. Usually with a sinus venosus ASD, a
pulmonary vein from the right lung will be
abnormally connected to the right atrium instead of
the left atrium. This is called an anomalous
pulmonary vein.

Ostium secundum ASD is the most

common type of ASD. It occurs in the
center of the septum between the right and
left atrium. A variant of this type of ASD is
called a patent foramen ovale (PFO) and is
very small

Pirau Kiri Ke Kanan

Rich Oxygentade blood +

poor oxygenated blood, Vol.
di jantung kanan >>

Vol. di Ventrikel Kiri <<

Pengisian di Ventrikel Kanan

>>

Aliran Ke sirkulasi sistemik

<<

Aliran Sirkulasi Pulmonal >>

02 + nutrisi ke jarigan <<

Fatique, Gangguan
Pertumbuhan

Beban Jantung Kanan

Beban Jantung
Kanan
>>
>>

Sirkulasi Pulmonal >>

Sirkulasi Pulmonal >>

Transudasi Cairan
Transudasi Cairan

Edema
Edema

Batuk berulang, Sesak

Hipertrofi , dilatasi
Atrium / Ventrikel

Pemeriksaan Fisik
1. Teraba Pulsasi Ventr. Dextra
1. Teraba Pulsasi Ventr. Dextra
2. Auskultasi Jantung :
2. Auskultasi Jantung :
2.1. Wide, Fixed Splitting of S2.
2.1. Wide, Fixed Splitting of S2.
2.2. Bising sistolik ejeksi di ICS 2 PSL kiri
2.2. Bising sistolik ejeksi di ICS 2 PSL kiri
2.3. Bising mid-diastolik di katub Trikuspid
2.3. Bising mid-diastolik di katub Trikuspid
Me pada saat Inspirasi
Me pada saat Inspirasi
2.4 Bising Pansistolik MI di Apeks
2.4 Bising Pansistolik MI di Apeks
Jk Cleft ktb mitral + (ASD Primum)
Jk Cleft ktb mitral + (ASD Primum)
or prolaps ktb mitral + (ASD sekundum)
or prolaps ktb mitral + (ASD sekundum)

Pemeriksaan Penunjang
FotoThoraxs :
1.Hipertrofi
Cardiomegali
2.Aliran Sirkulasi
Pulmonal >> :
-. Hilair Dance
-. Plethora Paru
-. Cabang Arteri
Pulmonalis >>

Elektrokardiografi
ASD (Ostium
Sekundum)
1.Right Axis
Deviation
2.Hipertrofi Ventrikel
Kanan
3.Right Bundle
Branch Block
( RBBB)

ASD( (Ostium
Ostium
ASD
Primum)
Primum)
1.LeftAxis
Axis
1.Left
Deviation
Deviation
2.RightBundle
Bundle
2.Right
Branch
Block
Branch Block
3.Hipertrofi
3.Hipertrofi
Ventrikel
Ventrikel