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.
Medical Definition of Atrial septal defect (ASD) Atrial septal defect (ASD): A hole in the septum, the wall, between the atria, the upper chambers of the heart. Commonly called an ASD. ASDs constitute a major class of heart formation abnormalities present at birth (congenital cardiac malformations).