A unique variant of atrial septal defect: "stretched vs. elongated" patent foramen ovale with left-to-right shunting
DOI:
https://doi.org/10.37615/retic.v1n1a8Keywords:
stretched patent foramen ovale, atrial septal defect, septum primum, septum secundum.Abstract
We present the case of a 79 year old patient who attended the clinic due to heart failure. The patient had atrial fibrillation, mitral regurgitation, significant dilatation of the right chambers and preserved left ventricular ejec- tion fraction. The transesophageal echocardiography examination showed a significant separation between the septum primum and secundum, a finding compatible with a large “stretched” patent foramen ovale, with unidirectional continuous flow from left to right, behaving functionally as an atrial septal defect: “stretched” patent foramen ovale or “valve incompetent”.
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Copyright (c) 2018 Martin Munín, Diego Xavier Chango Azanza, Noelia Pérez, Ignacio Raggio, Julieta Paolini
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