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It involves a patent ostium secundum (that is, a patent foramen secundum). The secundum atrial septal defect usually arises from an enlarged foramen ovale, inadequate growth of the septum secundum, or excessive absorption of the septum primum. About 10 to 20% of individuals with ostium secundum ASDs also have mitral valve prolapse. [5]
Meanwhile, a hole appears in the upper area, called the ostium secundum, or “second opening”. Now, we also have the septum secundum which grows downward just to the right of the septum primum, and covers the ostium secundum like a curtain, leaving a small opening called the foramen ovale, and essentially creating a makeshift valve that ...
Foramen secundum atrial septal defects are the most common atrial septal defects. This defect can arise as a result of defects of the septum primum and the septum secundum. For the septum primum, the problem can arise as a result of excess resorption of the septum during the process of apoptosis in order to form the foramen secundum.
This opening is closed by the union of the septum primum with the septum intermedium, and the communication between the atria is re-established through an opening which is developed in the upper part of the septum primum; this opening is known as the foramen ovale (ostium secundum of Born) and persists until birth.
The gap below it is known as the ostium primum (from Latin 'first opening'), and becomes increasingly small. The septum primum eventually fuses with the endocardial cushion, closing the ostium primum off completely. Meanwhile, perforations appear in the superior part of the septum primum, forming the ostium secundum (from Latin 'second opening').
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Before the ostium primum is completely occluded, a second opening called the ostium secundum begins to form in the septum primum. The ostium secundum allows continued shunting of blood from the right atrium to the left. To the right of the septum primum, the septum secundum begins to form. This thick, muscular structure initially takes on the ...