Atrial septal defect (ASD) causes a blood leakage from left atrium to right. Long lasting volume overload of the right side of the heart leads to hypertrophy of right ventricle, right atrium, pulmonary trunk and pulmonary arteries, and also to insufficiency of tricuspid valve. ASD causes no symptoms for many years. After some time it can give symptoms as: tiredness, palpitations and heart failure. Rare implication of ASD is pulmonary vascular disease (PVD). The following video presents surgery of ASD removal in epidural anaesthesia in patient with interstitial lung disease.
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