Atrial septal defect with Crochetage sign presenting with pulmonary artery thrombosis

2021 ◽  
Vol 14 (7) ◽  
pp. e244180
Author(s):  
Neerusha Kaisbain ◽  
Wei Juan Lim ◽  
Heng Shee Kim
Keyword(s):  
Atrial Septal Defect ◽  
Congenital Heart ◽  
Septal Defect ◽  
Diagnostic Specificity ◽  
Bundle Branch Block ◽  
Pulmonary Thrombosis ◽  
Strain Pattern ◽  
Artery Thrombosis ◽  
Right Ventricular Strain ◽  
Modern Era

Atrial septal defect (ASD) is the most common congenital heart disease observed in adult. Several ECG findings are considered sensitive for the diagnosis of ASD. We describe a 50 years old man who displayed Crochetage sign, incomplete right bundle branch block (IRBBB) and right ventricular strain pattern on ECG. Crochetage sign is highly specific for ASD and it correlates with shunt severity. The diagnostic specificity for ASD increases if the R waves have both Crochetage patterns and IRBBB. It is important not to confuse Crochetage signs with IRBBB abnormalities on ECG. Our patient was ultimately diagnosed with a large ASD measuring 3 cm with bidirectional shunt and concomitant pulmonary thrombosis. This illustrates that high suspicion of the ASD with the use of good-old ECG signs remains relevant in this modern era. This also reminds us that patients with Eisenmenger syndrome are at higher risk for pulmonary thrombosis.

scholarly journals Atrial Septal Defect - A New Perspective on the Cardiac Dyspnea

2018 ◽  
Vol 15 (2) ◽  
pp. 53-57
Author(s):  
Larisa Renata Roșan ◽  
Vlad Alin Pantea ◽  
Otilia Anca Ţica ◽  
Ovidiu Ţica ◽  
Mădălina Ioana Moisi ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Congenital Heart ◽  
Septal Defect ◽  
First Year ◽  
Cardiac Diseases ◽  
Embryological Development ◽  
Heart Malformation ◽  
New Perspective ◽  
First Year Of Life ◽  
Previous Medical History

AbstractThe congenital cardiac diseases predominately affect the children, as well as the young adults, and they are the consequence of an abnormal embryological development.Atrial septal defect (DSA) is a congenital heart malformation, which can close in the first year of life, being shown by the presence of a communication between the left atrium and right atrium with the left-to-right shunt, and it subsequently produces some complications.We report the case of a 31 years-old-female without previous medical history, who was diagnosed with atrial septal defect.

Congenital Heart Surgery Nomenclature and Database Project: atrial septal defect

2000 ◽  
Vol 69 (3) ◽  
pp. 18-24 ◽  
Author(s):  
Jeffrey P Jacobs ◽  
James A Quintessenza ◽  
Redmond P Burke ◽  
Constantine Mavroudis
Keyword(s):  
Atrial Septal Defect ◽  
Congenital Heart ◽  
Heart Surgery ◽  
Septal Defect ◽  
Congenital Heart Surgery

Pacemaker and conduction disturbances in patients with atrial septal defect

2020 ◽  
Vol 30 (7) ◽  
pp. 980-985 ◽  
Author(s):  
Diana H. R. Albæk ◽  
Sebastian Udholm ◽  
Anne-Sif L. Ovesen ◽  
Zarmiga Karunanithi ◽  
Camilla Nyboe ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Atrioventricular Block ◽  
Right Bundle Branch Block ◽  
Septal Defect ◽  
Pacemaker Implantation ◽  
Bundle Branch Block ◽  
Conduction Disturbances ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Background Population

AbstractObjective:To determine the prevalence of pacemaker and conduction disturbances in patients with atrial septal defects.Design:All patients with an atrial septal defect born before 1994 were identified in the Danish National Patient Registry, and 297 patients were analysed for atrioventricular block, bradycardia, right bundle branch block, left anterior fascicular block, left posterior fascicular block, pacemaker, and mortality. Our results were compared with pre-existing data from a healthy background population. Further, outcomes were compared between patients with open atrial septal defects and atrial septal defects closed by surgery or transcatheter.Results:Most frequent findings were incomplete right bundle branch block (40.1%), left anterior fascicular block (3.7%), atrioventricular block (3.7%), and pacemaker (3.7%). Average age at pacemaker implantation was 32 years. Patients with defects closed surgically or by transcatheter had an increased prevalence of atrioventricular block (p < 0.01), incomplete right bundle branch block (p < 0.01), and left anterior fascicular block (p = 0.02) when compared to patients with unclosed atrial septal defects. At age above 25 years, there was a considerably higher prevalence of atrioventricular block (9.4% versus 0.1%) and complete right bundle branch block (1.9% versus 0.4%) when compared to the background cohorts.Conclusions:Patients with atrial septal defects have a considerably higher prevalence of conduction abnormalities when compared to the background population. Patients with surgically or transcatheter closed atrial septal defects demonstrated a higher demand for pacemaker and a higher prevalence of atrioventricular block, incomplete right bundle branch block, and left anterior fascicular block when compared to patients with unclosed atrial septal defects.

scholarly journals Surgical Management of Ebstein’s Anomaly with Atrial Septal Defect in a Young Lady: A Case Report

2017 ◽  
Vol 12 (1) ◽  
pp. 37-39 ◽  
Author(s):  
CM Mosabber Rahman ◽  
SM Rakibul Alam ◽  
Samir Azam Sunny ◽  
Asit Baran Adhikary
Keyword(s):  
Case Report ◽  
Right Ventricle ◽  
Atrial Septal Defect ◽  
Congenital Heart ◽  
Septal Defect ◽  
Prosthetic Heart Valve ◽  
Young Lady ◽  
Direct Closure ◽  
Jude Medical ◽  
Medical University

Ebstein’s anomaly is a rare congenital heart defect accounting for <1% of all cases. It is commonly associated with other cardiac malformations particularly, 50% of the patients are associated with atrial septal defect. We report a 22-year-old lady diagnosed to have Ebstein’s anomaly with small atrial septal defect. She was surgically managed in Bangabandhu Sheikh Mujib Medical University by replacing the defective tricuspid valve withSt Jude Medical Epic porcine bio-prosthetic heart valve along with plication of atrialized portion of right ventricle and direct closure of the atrial septal defect.This resulted in excellent symptomatic improvement.University Heart Journal Vol. 12, No. 1, January 2016; 37-39

Atrial septal defects (ASDs)

2011 ◽  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Atrial Septal Defect ◽  
Coronary Sinus ◽  
Patent Foramen Ovale ◽  
Congenital Heart ◽  
Septal Defect ◽  
Foramen Ovale ◽  
Septal Defects ◽  
Different Types

Introduction 94Ostium secundum ASD 96Ostium primum ASD 100Sinus venosus ASD 100Coronary sinus defect 102Patent foramen ovale 104Interatrial communications account for ~10% of congenital heart disease. Different types of atrial septal defect (ASD) are illustrated in Fig. 8.1.•...

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