A complex ASD case: Where are the edges of the interatrial septum?
DOI:
https://doi.org/10.37615/retic.v3n2a12Keywords:
atrial septal defect, pulmonary hypertension, atrial septal defect (ASD) ostium secundum, biventricular diastolic function, increased pulmonary blood flow.Abstract
Atrial septal defect (ASD) ostium secundum is the most frequent congenital heart defect in adults. We present the clinical case of a 45-year-old, asymptomatic male with a very large ASD causing severe right chambers overload. Due to its large size and absent borders, the classification of the defect was difficult. In this case we review the differential diagnosis of ostium secundum versus inferior sinus venosus ASD and discuss the challenges to calculate pulmonary artery systolic pressure when Doppler signals of tricuspid regurgitation are weak.
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Copyright (c) 2020 Miguel Amor, María Graciela Rousse, Sergio Veloso, Víctor Darú, Jorge A. Lowenstein
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