Adult hole

A hole in your heart would seem to be the very definition of a "problem. In fact, the vast majority of those affected don't even know it. There are two kinds of holes in the heart. Although both are holes in the wall of tissue septum between the left and right upper chambers of the heart atria , their causes are quite different. An ASD is a failure of the septal tissue to form between the atria, and as such it is considered a congenital heart defect, something that you are born with. The larger the hole, the more likely there are to be symptoms.
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Patent Foramen Ovale (PFO)

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Atrial septal defect (ASD) - Symptoms and causes - Mayo Clinic

How common are VSDs? VSD is the most common heart birth defect. It can occur alone or with other congenital heart defects CHDs. About 1 in babies is born with a VSD. They vary in location, symptoms, other defects, and history.
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Ventricular Septal Defect (VSD)

When the ASD or shunt is small, only a little blood flows from one atrium to the other. Many small ASDs may close on their own as the heart grows during childhood. On the other hand, medium and large sized ASDs are less likely to close on their own and can cause complications if not closed. The heart starts out as a single tube in the developing fetus. As this tube loops, the two top tubes lie side-by-side and a wall septum develops.
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Holes in the heart are simple congenital kon-JEN-ih-tal heart defects. Congenital heart defects are problems with the heart's structure that are present at birth. These defects change the normal flow of blood through the heart. Your heart has two sides, separated by an inner wall called the septum.
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