A foramen ovale with atrial septal defect physiology
DOI:
https://doi.org/10.37615/retic.v5n3a4Keywords:
valve-incompetent patent foramen ovale, atrial septal defect, ASD percutaneous closure, septum primum, septum secundumAbstract
We present the case of a 60-year-old woman with a history of hypertension and permanent atrial fibrillation referred to Cardiology outpatient clinic after being hospitalized for heart failure. The transthoracic echocardiogram showed a moderately dilated right ventricle with normal systolic function and mild pulmonary hypertension. The transoesophageal echocardiogram revealed a valve-incompetent patent foramen ovale with a left-right shunt that had a functional behaviour of an atrial septal defect. Estimated Qp/Qs was 1.8 hence percutaneous closure was proposed and successfully performed.
Downloads
Metrics
References
Kheiwa A, Hari P, Madabhushi P, Varadarajan P. Patent foramen ovale and atrial septal defect. Echocardiography 2020; 37 (12): 2171-2184. DOI: https://doi.org/10.1111/echo.14646
Hagen PT, Scholz DG, Edwards WD. Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts. Mayo Clin Proc 1984; 59 (1): 17-20. DOI: https://doi.org/10.1016/S0025-6196(12)60336-X
Miranda B, Fonseca AC, Ferro JM. Patent forman ovale and stroke. J Neurol 2018; 265 (8): 1943 – 1949. DOI: https://doi.org/10.1007/s00415-018-8865-0
Mori T, Takamura T, Yamagishi H, Iwamoto K, Unno K, Seko T et al. J Echocardiogr 2021; 19 (3): 179-180. DOI: https://doi.org/10.1007/s12574-019-00459-4
Garg P, Servoss SJ, Wu JC, Bajwa ZH, Selim MH, Dinenn A et al. Circulation 2010; 121 (12): 1406 – 1412. DOI: https://doi.org/10.1161/CIRCULATIONAHA.109.895110
Teixidó-Tura G, González-Alujas T. Fuente embólica. En: Manual de ecocardiografía clínica. Madrid: CTO Editorial; 2018: 303-317.
Ho SY, McCarthy KP, Rigby ML. Morphological Features Pertinent to Interventional Closure of Patent Oval Foramen. J Interv Cardiol 2003; 16(1): 33-38. DOI: https://doi.org/10.1046/j.1540-8183.2003.08000.x
Baumgartner H, De Backer J, Babu-Narayan SV, Budts W, Chessa M, Diller GP, et al. 2020 ESC Guidelines for the management of adult congenital heart disease. Eur Heart J. 2021;42(6):563–645. DOI: https://doi.org/10.15829/1560-4071-2021-4702
Gil Ongay A, de Tapia B, Ceña JS, Olavarri Miguel I, Vázquez de Prada JA. Ecocardiografía tridimensional transesofágica en la evaluación del septo interauricular. Rev Ecocar Pract (RETIC). RETIC 2018 (1); 2: 9-14. DOI: https://doi.org/10.37615/retic.v1n2a3
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Jose Eduardo Ramirez Batista, María Pilar Portero Pérez, Pablo Aguiar Souto, Alejandro Gutierrez Fernández, Pedro María Azcárate Agüero
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:
- Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
- Non-commercial: you may not use the material for commercial purposes.
- No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
- No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.
