{"id":1679,"date":"2017-04-06T04:47:18","date_gmt":"2017-04-06T04:47:18","guid":{"rendered":"https:\/\/doktermuslim.com\/?p=1679"},"modified":"2017-04-06T15:09:23","modified_gmt":"2017-04-06T15:09:23","slug":"atrial-septal-defek-asd","status":"publish","type":"post","link":"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/","title":{"rendered":"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana"},"content":{"rendered":"

Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas yang memisahkan atrium dextra dan atrium sinistra.<\/p>\n

Selama proses perkembangan embriologis jantung, septum tumbuh dan berkembang di endocardial cushion untuk memisahkan dan membagi atrium, yakni atrium dextra dan sinistra. Kegagalan pertumbuhan dan perkembangan septum atau resorpsi berlebihan dari jaringan, menyebabkan terjadinya ASD.<\/p>\n

ASD terjadi sekitar 10% dari seluruh kelainan jantung kongenital. Defek septum sekundum<\/strong>,\u00a0 dimana terjadi lubang pada area foramen ovale, adalah bentuk tersering dari ASD. Defek septum primum<\/strong>, berlokasi di dekat endocardial cushion, mungkin menjadi bagian dari defek kanal atrioventrikular, tetapi dapat terjadi dengan intak septum ventricular.<\/p>\n

Tipe VSD yang terakhir yang sering terjadi adalah defek sinus venosus<\/strong>, dimana mungkin berhubungan dengan anomaly dari pulmonary venous return.<\/p>\n

\n

Manifestasi Klinis<\/u><\/strong><\/h3>\n

Berdasarkan sisi dan lokasi ASD, patofisiologi dan jumlah shunt tergantung dari ukuran defek dankomplikasi pada ventrikel kiri dan ventrikel kanan. Meskipun ASD besar juga jarang menimbulkan gejala. Impulas pad ventrikel kanan di tepi sternum kiri dapat di palpasi.<\/p>\n

Murmur sistolik ejeksi (grade 1 dan grade II) di ventrikel kanan dan fixed slipd S2 sering terdengar. Shunt yang besar dapat dihasilkan pada murmur diastolic pada tepi bawah sternum, hasil dari peningkatan volume di katub tricuspid.<\/p>\n

\"\"<\/p>\n

\n

Pemeriksaan Penunjang<\/u><\/strong><\/h3>\n

Pemeriksaan EKG dan X-ray ditemukan peningkatan aliran darah pada atrium kanan, ventrikel kanan, arteri pulmonary dan paru-paru. EKG dapat menunjukkan\u00a0 deviasi aksis kanan dan hipertropi pada ventrikel kanan.<\/p>\n

Pemeriksaan radiologi X-ray menunjukkan cardiomegaly (pembesaran jantung), pembesaran atrium kanan dan penonjolan dari arteri pulmonalry.<\/p>\n

\n

Tatalaksana<\/u><\/strong><\/h3>\n

Manajemen dan tatalaksana medikamentosa jarang diindikasikan. Profilaksis untuk endocarditis bacterial subakut diberikan pada nonsekundum ASD. Jika shunt masih ada selama usia 3 tahun, penutupan biasanya di anjurkan. Penutupan dilakukan oleh dokter specialis jantung atau bedah thoraks cardiovaskuler.<\/p>\n

Banyak ASD sekundum dapat menutup dengan ASD closure device pada cath lab (catheterization laboratory). Defek primum dan sinus venosus membutuhkan penutupan dengan cara surgery (pembedahan).<\/p>\n

\n

Referensi<\/u><\/strong><\/h3>\n

Kliegman RM, Marcdante KJ, Jenson H, 2006. Nelson : Essentials of Pediatrics 5th<\/sup> edition, International Edition<\/u><\/em><\/strong>, Elsevier Saunders : Philadelpia<\/p>\n","protected":false},"excerpt":{"rendered":"

Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas yang memisahkan atrium dextra dan atrium [Read more]<\/a><\/p>\n","protected":false},"author":1,"featured_media":1680,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25,31],"tags":[718,717,722,720,719,721,723,724],"newstopic":[],"yoast_head":"\nAtrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana | Dokter Muslim<\/title>\n<meta name=\"description\" content=\"Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/\" \/>\n<meta property=\"og:locale\" content=\"id_ID\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana | Dokter Muslim\" \/>\n<meta property=\"og:description\" content=\"Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas\" \/>\n<meta property=\"og:url\" content=\"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/\" \/>\n<meta property=\"og:site_name\" content=\"Dokter Muslim\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/doktermuslimcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-04-06T04:47:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-04-06T15:09:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/doktermuslim.com\/wp-content\/uploads\/2017\/04\/atrial-septal-defek.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1300\" \/>\n\t<meta property=\"og:image:height\" content=\"800\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"dr. Wiwid Santiko\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@https:\/\/twitter.com\/wiwidsantiko\" \/>\n<meta name=\"twitter:label1\" content=\"Ditulis oleh\" \/>\n\t<meta name=\"twitter:data1\" content=\"dr. Wiwid Santiko\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimasi waktu membaca\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 menit\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/\",\"url\":\"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/\",\"name\":\"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana | Dokter Muslim\",\"isPartOf\":{\"@id\":\"https:\/\/doktermuslim.com\/#website\"},\"datePublished\":\"2017-04-06T04:47:18+00:00\",\"dateModified\":\"2017-04-06T15:09:23+00:00\",\"author\":{\"@id\":\"https:\/\/doktermuslim.com\/#\/schema\/person\/04facedc986ed10a53048132c2efa9f3\"},\"description\":\"Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas\",\"breadcrumb\":{\"@id\":\"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/#breadcrumb\"},\"inLanguage\":\"id\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Beranda\",\"item\":\"https:\/\/doktermuslim.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/doktermuslim.com\/#website\",\"url\":\"https:\/\/doktermuslim.com\/\",\"name\":\"Dokter Muslim\",\"description\":\"Menebar Ilmu, disetiap waktu\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/doktermuslim.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"id\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/doktermuslim.com\/#\/schema\/person\/04facedc986ed10a53048132c2efa9f3\",\"name\":\"dr. Wiwid Santiko\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"id\",\"@id\":\"https:\/\/doktermuslim.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/42285ab605ce9ad0ec978b0f02989db5?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/42285ab605ce9ad0ec978b0f02989db5?s=96&d=mm&r=g\",\"caption\":\"dr. Wiwid Santiko\"},\"description\":\"Selamat datang di www.doktermuslim.com. Web ini merupakan menara air ilmu pengetahuan didunia medis. Semoga anda mendapat manfaat dari web ini. Mengakar kuat dibumi, menjulang tinggi ke langit. Jangan lupa like, berkomentar dan share.\",\"sameAs\":[\"https:\/\/doktermuslim.com\",\"https:\/\/www.facebook.com\/doktermuslimcom\/\",\"https:\/\/instagram.com\/wiwid.santiko\",\"https:\/\/twitter.com\/https:\/\/twitter.com\/wiwidsantiko\",\"https:\/\/www.youtube.com\/channel\/UCnisDfJVHRQvAWL9qYEChqw\"],\"url\":\"https:\/\/doktermuslim.com\/author\/doktermu\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana | Dokter Muslim","description":"Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/","og_locale":"id_ID","og_type":"article","og_title":"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana | Dokter Muslim","og_description":"Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas","og_url":"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/","og_site_name":"Dokter Muslim","article_author":"https:\/\/www.facebook.com\/doktermuslimcom\/","article_published_time":"2017-04-06T04:47:18+00:00","article_modified_time":"2017-04-06T15:09:23+00:00","og_image":[{"width":1300,"height":800,"url":"https:\/\/doktermuslim.com\/wp-content\/uploads\/2017\/04\/atrial-septal-defek.jpg","type":"image\/jpeg"}],"author":"dr. Wiwid Santiko","twitter_card":"summary_large_image","twitter_creator":"@https:\/\/twitter.com\/wiwidsantiko","twitter_misc":{"Ditulis oleh":"dr. Wiwid Santiko","Estimasi waktu membaca":"2 menit"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/","url":"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/","name":"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana | Dokter Muslim","isPartOf":{"@id":"https:\/\/doktermuslim.com\/#website"},"datePublished":"2017-04-06T04:47:18+00:00","dateModified":"2017-04-06T15:09:23+00:00","author":{"@id":"https:\/\/doktermuslim.com\/#\/schema\/person\/04facedc986ed10a53048132c2efa9f3"},"description":"Atrial septal defek adalah kelainan septum dinding jantung, dimana terjadi tidak menutupnya dengan sempurna septum interatrialis, yakni dinding pembatas","breadcrumb":{"@id":"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/#breadcrumb"},"inLanguage":"id","potentialAction":[{"@type":"ReadAction","target":["https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/doktermuslim.com\/atrial-septal-defek-asd\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Beranda","item":"https:\/\/doktermuslim.com\/"},{"@type":"ListItem","position":2,"name":"Atrial Septal Defek (ASD) : Definisi, Gejala dan Tatalaksana"}]},{"@type":"WebSite","@id":"https:\/\/doktermuslim.com\/#website","url":"https:\/\/doktermuslim.com\/","name":"Dokter Muslim","description":"Menebar Ilmu, disetiap waktu","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/doktermuslim.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"id"},{"@type":"Person","@id":"https:\/\/doktermuslim.com\/#\/schema\/person\/04facedc986ed10a53048132c2efa9f3","name":"dr. Wiwid Santiko","image":{"@type":"ImageObject","inLanguage":"id","@id":"https:\/\/doktermuslim.com\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/42285ab605ce9ad0ec978b0f02989db5?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/42285ab605ce9ad0ec978b0f02989db5?s=96&d=mm&r=g","caption":"dr. Wiwid Santiko"},"description":"Selamat datang di www.doktermuslim.com. Web ini merupakan menara air ilmu pengetahuan didunia medis. Semoga anda mendapat manfaat dari web ini. Mengakar kuat dibumi, menjulang tinggi ke langit. Jangan lupa like, berkomentar dan share.","sameAs":["https:\/\/doktermuslim.com","https:\/\/www.facebook.com\/doktermuslimcom\/","https:\/\/instagram.com\/wiwid.santiko","https:\/\/twitter.com\/https:\/\/twitter.com\/wiwidsantiko","https:\/\/www.youtube.com\/channel\/UCnisDfJVHRQvAWL9qYEChqw"],"url":"https:\/\/doktermuslim.com\/author\/doktermu\/"}]}},"_links":{"self":[{"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/posts\/1679"}],"collection":[{"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/comments?post=1679"}],"version-history":[{"count":0,"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/posts\/1679\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/media\/1680"}],"wp:attachment":[{"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/media?parent=1679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/categories?post=1679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/tags?post=1679"},{"taxonomy":"newstopic","embeddable":true,"href":"https:\/\/doktermuslim.com\/wp-json\/wp\/v2\/newstopic?post=1679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}