Kate L. Iwamoto, M.D., is a pediatrician with Mercy Family Care Physicians in Downtown Baltimore.
Knee replacement surgery is offered at Mercy Medical Center in Baltimore. The orthopedic team at Orthopedics and Joint Replacement at Mercy offer innovative technology for knee replacement surgery.
Surgical Oncology at Mercy is recognized throughout the Mid-Atlantic region for its expert cancer surgeons who treat patients with melanoma and abdominal/stomach and/or GI cancer.
Mercy offers emergency care on the Downtown Baltimore campus 24 hours a day, 7 days a week (410-332-9477) with access to a trained emergency medicine team, diagnostic services and consultations with specialists.
In case of an Emergency, Dial 911 and follow the instructions of the EMS (Emergency Medical Services) team.
Mercy Medical Center's downtown campus includes our Main Hospital - The Mary Catherine Bunting Center, McAuley Plaza and The Weinberg Center.
General visiting hours at Mercy are 11:00 am to 8:30 pm. Hours vary by floor, please check with the nursing staff or call 410-332-9555.
The cardiologists at The Heart Center at Mercy Medical Center in Baltimore, Maryland, can provide a full evaluation of atrial septal defect. Our specialists will work with you to determine the best plan of care for your atrial septal defect.
Atrial septal defect is an abnormal hole in the muscle wall (septum) that is between the upper chambers (atria) of the heart. It can occur early in the development of the baby within the womb. The cause is not known. Factors such as German measles during pregnancy, alcohol or illegal drug use may play a role. This congenital heart defect may close by itself during childhood, but larger holes that don’t close naturally can lead to complications later in life. Complications may include an enlarged heart, heart arrhythmias or pulmonary hypertension or stroke.
Many people with this defect don’t have any symptom until adulthood or later in life. Major symptoms can be:
These diagnostic tests can be used to determine whether an atrial septal defect is present, the defect’s size and exactly where the defect is located in the atrial wall:
Treatment depends on the size of the hole, the types and severity of symptoms and the presence or absence of other conditions. Small holes may not cause any symptoms and may not need treatment. For larger defects causing symptoms the aim is to manage symptoms and prevent complications. No medications can repair the hole, but certain drugs can help to prevent clots and keep the heartbeat regular.
If the defect needs to be repaired, a catheter procedure may be used to plug the hole. Open heart surgery may be needed for very large defects.
The cardiologists of The Heart Center at Mercy Medical Center in Baltimore, Maryland, diagnose and treat heart diseases including coronary artery disease (CAD), heart attack and high blood pressure. Mercy's heart doctors take a comprehensive approach to treating patients through physical examinations and thorough testing using arrhythmic monitoring, cardiac catheterization, cardioversion, consultative cardiology, electrocardiogram (EKG), pacemaker, stress testing and transesophageal echocardiogram (TEE).
Dr. Mark Applefeld, Chief of the Division of Cardiology, helps patients with heart problems, including heart attack, heart murmur and heart disease.
The story of a patient who forms a relationship with Mercy's doctors that spans over 20 years.