Case report A 79-year-old patient with secundum type atrial septal defect (original) (raw)
Related papers
A 79-year-old patient with secundum type atrial septal defect
2008
Atrial septal defect is a very rarely seen congenital cardiac defect among elderly patients. In this report, we present a 79-year-old patient who still has left-to- right shunt with operable secundum type atrial septal defect. We believe our case is one of the rare patients with this condition reported in the literature.
Clinical features and management of secundum atrial septal defect in infants and children
Medical Journal of Indonesia, 1996
Dalan penelitian retrospekûfini dilakukan evaluasi terhadap penampilan Hinis dan tata laksana pasien defek septum atriun yang berobat di Subbagian Kardiologi, Bagian llnw Kesehatan Anak RS. Cipto Mangunkusunto, Jakarta, antara I Januari 1983 sanpai dengan 3 1 Desember 1992. Sebelun tersedia alat ekokardiografi, diagnosis defek septwn atriurn sernata-nata didasarkan pada riwayat penyakit, petneriksaanfisis, elektrokardiogram, danfoto rontgen dada-Setelah tersedia alnt ekokardiografi (Januari 1987), diagnosis kelainan ini dipastikan dengan ekokardiografi (keuudianjuga Doppler dan Doppler berwarna). Seri ini nenunjukkan: (1) Defekseptunt atriun sekundun lebih sering ditenukan pada anak perentpuan, dengan rasio perentpuan : lelaki : 1,5 : 1,2; (2) Jwnlah pasien yang didiagnosis sebagai defek septurn atrium lebih banyak setelah tersedia alat ekol<ardiografi; (i) Penemuan klinis dan pemerilcsaan prnuÀiong yang khas lebih sering didapatlan pada pasien berusia 3 tahun atau lebih dibanding dengan yang berusia kurang dari 3 tahun; (4) Hantbatan pertu,ilbuhan, Icardionegali, dan right branch block lebih sering ditenmkan pada defek besar; (5) Pengobatan terpilih adalah operasi penutuPan defek, yang dapat dilakukan tiap saat-Abstract This retrospective study aitned to review the clinicalfeatures and nanagement o;fpatients with secunduu atrial septal defect (ASD 2")-The subjecrs studied were 9O boys (39.8%) and 136 girls (60.2%), treated at the Ourpatient Clinic, Cardiology Division, Deparrnent of Child Health, Cipto Mangunkusumo Hospital, Jakarta, Indonesia, frotn January 1, 1983 to December 31, 1992. Clinical ossessilrcnt and nnnagetnent were evaluated by one ofthe authors. Electrocardiographic, radiographic, and henodynanùc findings were analyzed b), the etperîs. The diagnostic procedure was contpleted u'ith echocardiographic exanination since January 1987. This study discloses severalfindings: (1)ASD20 affectedgirls ntorethanboys, the sex ratiowas 1,5:1; (2)The diagnosis ofASD 2" in infants was increased after the advent of echocardiographl,; p) While rypical auscultatory findings could be heard in older ASD ccrses, the clinical features were not specirtc in young infunts; (4) Growth retardation, cardiouegaly and right bundle branch block were coutttton in large ASD 2"; (5) Simple closure ofASD 2" was the procedure ofchoice. Key w ords : at r i al s ep tal defe ct, e cho car d i o gr aphy, c Ii ni c al n anife stat i o ns
Case Report Typical signs of secundum atrial septal defect in a young female
We report the case of a 25-year-female presented with dyspnea & chest pain on exertion. The ECG showed signs of right ventricular overload. The chest X-ray showed an enlargement of central pulmonary arteries, pulmonary plethora and a small aortic knuckle. Atrial septal defect (ASD) was suspected and transthoracic echocardiography (TTE) subsequently confirmed the presence of a large ostium secundum ASD. A surgical closure with an equine pericardium patch was performed. Two months after the surgical repair, the ECG and TTE showed the regression of signs of right ventricular overload.
Uncommon Facades of Atrial Septal Defect -A Case Series
https://www.ijrrjournal.com/IJRR\_Vol.7\_Issue.11\_Nov2020/Abstract\_IJRR0026.html, 2020
Atrial septal defect (ASD) is one of the most common congenital cardiac lesions in adults. While the most common symptoms include fatigue, exertional dyspnea, and palpitations, the presentation of ASD can be protean. In this article, we describe three uncommon presentations of ostium secundum ASD. Patient 1 presented with pericardial tamponade. Patient 2 presented with ventricular tachycardia. Patient 3 had moderately severe mitral regurgitation. These patients had chest radiographs and electrocardiograms typical of secundum ASD, but their presentations were atypical.
2009
We describe neglected inferior sinus venosus atrial septal defect in a patient with history of surgical repair of secundum type ASD nineteen years ago. The defect was in the inferior portion of the interatrial septum just at the orifice of the inferior vena cava, far from the previous surgical patch of the secundum ASD repair. Preoperative and/or intraoperative transesophageal echocardiography is necessary for detection of multiple ASDs and reveals the successful repair of sinus venosus defects(Iranian
Clinical characteristics of adult uncorrected secundum atrial septal defect: a pilot study
Journal of thee Medical Sciences (Berkala Ilmu Kedokteran), 2016
Atrial septal defect (ASD) is the most frequent congenital heart disease in adulthood. Pulmonary hypertension (PH) complicating ASD compels patients seeking medical assistance because of its disabling symptom. Most adult ASD develop PH which render significant morbidity and mortality. The aim of the study is to characterize the clinical profiles of adult patients with ASD. The study design was cross sectional. The subjects were enrolled consecutively from outpatient clinics and inpatient wards. The demography, medical and imaging data were collected and recorded in case report form. Descriptive statistics was applied to characterize the subjects. Seventy-six subjects were enrolled. The majority were women (77.6 %) in the productive and child-bearing ages (63.2%). The most common symptoms were dyspneu on effort, fatigue, and palpitation. Most subjects had functional capacity of WHO class functional II (70.2 %). The mean oxygen saturation was 96.4 %. Based on the echocardiography examination, 77.6% of subjects had suffered from PH. The mean longest diameter of defects were 2.7 cm. The direction of blood flow was mostly left to right (77.6 %). Left and right ventricle function were within normal limit. Right heart catheterization showed mean left atrial pressure 11.5 mmHg, which confirmed the precapillary or arterial PH. Mean pulmonary artery pressure was 42.0 mmHg. The pulmonary artery resistance index mostly less than 4 Wood Unit/ m 2 (63.7 %), indicating the feasibility to close the defect. Whereas 24.6 % of subjects were contraindicated for closing. Pulmonary artery hypertension (PAH) was diagnosed in 77.6 % subjects, meanwhile 13.2 % had borderline PAH. In conclusion, most adult ASD patients had developed PAH, mostly young women in productive ages, mainly visited hospital due to symptom of PH, the direction of flow predominantly left to right side and mostly had reduced functional capacity.
Typical signs of secundum atrial septal defect in a young female
Bangladesh Journal of Medical Science, 2015
We report the case of a 25-year-female presented with dyspnea & chest pain on exertion. The ECG showed signs of right ventricular overload. The chest X-ray showed an enlargement of central pulmonary arteries, pulmonary plethora and a small aortic knuckle. Atrial septal defect (ASD) was suspected and transthoracic echocardiography (TTE) subsequently confirmed the presence of a large ostium secundum ASD. A surgical closure with an equine pericardium patch was performed. Two months after the surgical repair, the ECG and TTE showed the regression of signs of right ventricular overload.
Multi-hole Atrial Septal Defect: A diagnostic and therapeutic challenge
Clinical Research and Trials, 2020
Atrial Septal Defect (ASD) is the third most common congenital heart defect. There are three main types of ASD: ostium secundum, ostium primum and sinus venous. There are few reports of multi-hole ostium secundum ASD, its incidence is estimated in 4-10%. A 56-year-old male attends to medical consultation due to three-month exertional dyspnea, palpitations and lower limb edema. Transthoracic echocardiogram reported dilatation of right cavities, ostium secundum ASD, severe tricuspid insufficiency, pulmonary hypertension, left ventricular ejection fraction of 60%. A cardiac examination with arrhythmic heart sounds, splitting of the second sound and systolic murmur in second right intercostal space. Electrocardiogram showed atrial fibrillation and incomplete right bundle branch block. The 2D and 3D transesophageal echocardiogram confirmed the presence of multi-hole ostium secundum ASD. Right heart catheterization showed mild pulmonary hypertension. Surgical management was suggested to correct the multi-hole ASD. The diagnosis of the ASD should always include a 3D transesophageal echocardiogram for a detailed assessment of the interatrial septum. Complex multi-hole ostium secundum ASD is a relative contraindication for closure with an Amplatzer device; therefore, a surgical treatment with opened exposure should be done.