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Living with Atrial septal defect, ostium secundum type

A rare heart condition with a hole in the wall between the upper heart chambers, present from birth.

Understanding Atrial septal defect, ostium secundum type

Atrial septal defect, ostium secundum type is a rare heart condition with a hole in the wall (septum) between the upper chambers of the heart.

It develops during heart formation when a natural opening called the foramen ovale is too large, the septum secundum does not grow enough, or the septum primum is absorbed too much. It is present from before birth and noticed in infancy.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Less ability to exercise
  • Shortness of breath with activity
  • Tiredness
  • Palpitations
  • Heart murmur
  • Enlarged right upper heart chamber

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Does the hole need to be closed?
How often should I see a heart specialist?
Could this run in my family?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

Genetic

Also known as: 2 asd - secundum atrial septal defect; asd ii; asd ii - secundum atrial septal defect; asd, ostium secundum type; asd2 - secundum atrial septal defect; atrial septal defect of fossa ovalis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Atrial septal defect, ostium secundum typeGARD ID 5865 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

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