1 It depends on the type of cheese, bread and butter (or margarine). 2  There are about 250 calories in a small grilled cheese sandwich. 3  Each slice of white bread has about 50 calories in it and each slice of American cheese has about 67 calories in it. 4  So that 167 right there. Then there is the question of buttering the bread and if you do butter the bread how much butter will you use. 2  You are looking at a minimum of 250 calories in a thin grilled cheese sandwich. 3  It depends on the type of cheese, bread and butter (or margarine).
An atrial septal defect is a birth defect of the heart in which there is a hole in the wall (septum) that divides the upper chambers of the heart (atria). A hole can vary in size and may close on its own or may require surgery.An atrial septal defect is one type of congenital heart defect.n atrial septal defect is a birth defect of the heart in which there is a hole in the wall (septum) that divides the upper chambers of the heart (atria). A hole can vary in size and may close on its own or may require surgery.
Atrial septal defect (ASD) is one of the more commonly recognized congenital cardiac anomalies presenting in adulthood. Atrial septal defect is characterized by a defect in the interatrial septum allowing pulmonary venous return from the left atrium to pass directly to the right atrium.tiology. Atrial septal defect (ASD) is a congenital cardiac disorder caused by the spontaneous malformation of the interatrial septum. Ostium secundum ASD: This type of ASD results from incomplete adhesion between the flap valve associated with the foramen ovale and the septum secundum after birth.