Management of Adults With Congenital Heart Disease
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30
Specific Conditions
YES
Secundum ASD
Normal RV, Qp:Qs <1.5
Monitor clinically;
routine follow-up
Eisenmenger
physiology
Right ventricular
enlargement,
Qp:Qs ≥1.5
YES
YES
NO
NO
NO
Paradoxical
embolism?
PAH?
1
PH specialist
1
ASD closure
Evidence of
hemodynamically
significant shunt?
Figure 2. Closure Considerations for Secundum Atrial Septal
Defect
