ASD Device Closure — RACP Paediatrics MCQ

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ModerateCardiologyASD Device ClosureRACP Paediatrics

A 7-year-old child is diagnosed with an isolated large secundum ASD with evidence of right heart volume overload. What is the preferred method of closure?

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Correct answer: D — Transcatheter device closure

Large secundum ASDs with evidence of right heart volume overload require closure. Transcatheter device closure (using an Amplatzer or similar device) is the preferred method for suitable secundum ASDs with adequate rims. Surgical closure is reserved for very large defects, primum ASDs, sinus venosus ASDs, or those with inadequate rims for device closure.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: ASD