raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1478

Interatrial communication

Synonyms: ASD · Atrial septal defect · Interauricular communication

Type
Morphological anomaly
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Adolescent, Adult, Childhood, Elderly
Status
active

A congenital cardiac malformation characterized by a communication between the atrial chambers of the heart.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enInteratrial communicationASD · Atrial septal defect · Interauricular communication
frCommunication interauriculaireASD · Anomalie du septum auriculaire · CIA · Communication interatriale
deInteratriale KommunikationASD · Atrialer Septumdefekt · Atriumseptumdefekt · Vorhofseptumdefekt
esComunicación interauricularCIA · Defecto septal atrial
itComunicazione interatrialeASD · Difetto del setto atriale
nlInteratriale communicatieASD · Atriumseptumdefect · Interauriculaire communicatie
ptComunicação inter-auricularCIA
plKomunikacja międzyprzedsionkowaASD · Wada przegrody międzyprzedsionkowej
csDefekt síňového septaASD · Spojení mezi oušky síní · Mezisíňová komunikace
ukМіжпередсердна комунікаціяASD · Дефект міжпередсердної перегородки · Міжаурикулярна комунікація
zh房间隔缺损心房贯通
trİnteratriyal iletişimASD · Atriyal septal defekt · İnteraurikular iletişim

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM108800Evalidated
OMIM607941BTNTvalidated
OMIM611363BTNTvalidated
OMIM612794BTNTvalidated
OMIM613087BTNTvalidated
OMIM614089BTNTvalidated
OMIM614433BTNTvalidated
OMIM614475BTNTvalidated
ICD-10Q21.1Especificvalidated
ICD-11LA8E.YNTBTindexvalidated
MONDO0006664Evalidated
MeSHD006344Evalidated
UMLSC0018817Evalidated
MedDRA10003664Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

Children (4):

4

Genes

0 direct · 11 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TBX20ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) (gain of function) inAssessedHGNC:11598ENSG000001645326060617p14.2T-box transcription factor 2019762328[PMID]
TBX20ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:11598ENSG000001645326060617p14.2T-box transcription factor 2019762328[PMID]
ACTC1ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) inAssessedHGNC:143ENSG0000015925110254015q14actin alpha cardiac muscle 117947298[PMID]
CITED2ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) inAssessedHGNC:1987ENSG000001644426029376q24.1Cbp/p300 interacting transactivator with ED-rich tail 216287139[PMID]
CITED2ORPHA:99105Atrial septal defect, sinus venosus typeDisease-causing germline mutation(s) inAssessedHGNC:1987ENSG000001644426029376q24.1Cbp/p300 interacting transactivator with ED-rich tail 216287139[PMID]
GATA4ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) inAssessedHGNC:4173ENSG000001365746005768p23.1GATA binding protein 412845333[PMID]_15810002[PMID]_20347099[PMID]
GATA6ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) inAssessedHGNC:4174ENSG0000014144860165618q11.2GATA binding protein 620631719[PMID]
MYH6ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) inAssessedHGNC:7576ENSG0000019761616071014q11.2myosin heavy chain 615735645[PMID]
NKX2-5ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) inAssessedHGNC:2488ENSG000001830726005845q35.1NK2 homeobox 521285290[PMID]_15810002[PMID]
TLL1ORPHA:99103Atrial septal defect, ostium secundum typeDisease-causing germline mutation(s) inAssessedHGNC:11843ENSG000000382956067424q32.3tolloid like 118830233[PMID]
TLL1ORPHA:99106Atrial septal defect, ostium primum typeDisease-causing germline mutation(s) inAssessedHGNC:11843ENSG000000382956067424q32.3tolloid like 118830233[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 000—EuropeClass onlyNot yet validatedORPHANET
Point prevalence1-5 / 10 0003 / 100 000WorldwideValue and classNot yet validated39144879[PMID]_23225563[PMID]_ORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

19 annotations · validated 2023-10-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001631Atrial septal defect
HP:0001684Secundum atrial septal defect
Frequent (79-30%)
HP:0005110Atrial fibrillation
HP:0031664Systolic heart murmur
Occasional (29-5%)
HP:0004749Atrial flutter
HP:0001640Cardiomegaly
HP:0001635Congestive heart failure
HP:0002875Exertional dyspnea
HP:0012378Fatigue
HP:0001962Palpitations
HP:0010445Primum atrial septal defect
HP:0002092Pulmonary arterial hypertension
HP:0002205Recurrent respiratory infections
HP:0033567Right axis deviation
HP:0011712Right bundle branch block
HP:0005133Right ventricular dilatation
HP:0011567Sinus venosus atrial septal defect
Very rare (<4-1%)
HP:0001297Stroke
HP:0031297Unroofed coronary sinus

Run the differential on the 2 obligate / very frequent terms

Annotation source: 30571061[PMID]_32622487[PMID]_34535989[PMID]

7

Sources for this card