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Atrial septal defect (ASD) is a congenital heart defect in which blood flows between the atria (upper chambers) of the heart.Some flow is a normal condition both pre-birth and immediately post-birth via the foramen ovale; however, when this does not naturally close after birth it is referred to as a patent (open) foramen ovale (PFO).
At birth, when the lungs become functional, the pulmonary vascular pressure decreases and the left atrial pressure exceeds that of the right. This forces the septum primum against the septum secundum, functionally closing the foramen ovale. In time the septa eventually fuse, leaving a remnant of the foramen ovale, the fossa ovalis.
[2] [3] Although there are many routes an embolism may take to enter the arterial circulation, the term paradoxical embolism most commonly refers to a clot passing through a patent foramen ovale. The formen ovale is open during development of the heart in a developing fetus, and normally closes soon after birth - studies have found that patent ...
Some of the blood entering the right atrium does not pass directly to the left atrium through the foramen ovale, but enters the right ventricle. This blood consists of oxygenated placental blood and deoxygenated blood returning from the fetal circulation. [2] This blood is pumped into the pulmonary artery. At the pulmonary artery, it is met ...
A flap of tissue called the septum primum acts as a valve over the foramen ovale during that time. After birth, the introduction of air into the lungs causes the pressure in the pulmonary circulatory system to drop. This change in pressure pushes the septum primum against the atrial septum, closing the foramen. [1]
Fossa ovalis (thigh), also called the saphenous opening; Fossa ovalis (heart), an embryonic remnant of the foramen ovale; See also. Fossa (disambiguation)
During development, blood shunts from the floor of the right atrium through the foramen ovale in the septum secundum then up through the foramen secundum in the septum primum. [2] The foramen secundum is positioned so that blood exits in the ceiling of the left atrium and then out through the left ventricle and the aorta. The position of the ...
The septum primum, a septum which grows down to separate the primitive atrium into the left atrium and right atrium, grows in size over the course of heart development.The primary interatrial foramen is the gap between the septum primum and the septum intermedium, which gets progressively smaller until it closes.