Visualization of Ostium Secundum Atrial Septal Defect by Transesophageal Echocardiography

1990 ◽  
Vol 20 (3) ◽  
pp. 446
Author(s):  
Wook Sung Chung ◽  
Jong Il Yun ◽  
Sang Hong Baek ◽  
Seung Suk Chun ◽  
Chong Sang Kim ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Transesophageal Echocardiography ◽  
Septal Defect ◽  
Secundum Atrial Septal Defect

scholarly journals Case report of an atrial septal defect with negative transthoracic echocardiography, a diagnostic challenge in a middle-aged female with marked dyspnoea

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110125
Author(s):  
Chathuri Liyanapathirana ◽  
Shashika Mihirani Arthanayake ◽  
Sisil Widyaratne ◽  
Saman Chandana ◽  
Danajani Senevirathne
Keyword(s):  
Pulmonary Hypertension ◽  
Atrial Septal Defect ◽  
Transesophageal Echocardiography ◽  
Transthoracic Echocardiography ◽  
Septal Defect ◽  
Abrupt Onset ◽  
Secundum Atrial Septal Defect ◽  
Diagnostic Challenge ◽  
Chest X Ray ◽  
Prone Sleeping

A 39-year-old G3P3 female presented with abrupt onset dyspnoea of one month duration. She was markedly symptomatic when lying supine and resorted to prone sleeping. Chest X-ray reported as cardiomegaly. Transthoracic echocardiography was unremarkable twice. Computed tomography chest showed a dilated pulmonary artery. Transesophageal echocardiography identified a 12-mm ostium secundum atrial septal defect with mild pulmonary hypertension. The defect was closed with a cocoon device and rendered her symptom free. This case highlights the importance of timely organization of transesophageal echocardiography when transthoracic echocardiography is negative. It also illustrates marked dyspnoea could be a presentation of undiagnosed atrial septal defect with mild pulmonary hypertension.

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