Clinics in diagnostic imaging (186). Atrial septal defect with pulmonary arterial hypertension

Clinics in diagnostic imaging (186). Atrial septal defect with pulmonary arterial hypertension

We report a case of a 61-year-old woman with a large atrial septal defect (ASD) that was detected incidentally on chest radiography and computed tomography when she presented with sepsis. Echocardiography confirmed a large secundum ASD with left-to-right shunt flow, right heart dilatation and severe...

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Veröffentlicht in:Singapore medical journal 2018-05, Vol.59 (5), p.279-283
Hauptverfasser: Lau, Li Ching, Koh, Hui Liang, Yip, Wei Luen James, Ong, Ching Ching
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container_title Singapore medical journal
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creator Lau, Li Ching
Koh, Hui Liang
Yip, Wei Luen James
Ong, Ching Ching
description We report a case of a 61-year-old woman with a large atrial septal defect (ASD) that was detected incidentally on chest radiography and computed tomography when she presented with sepsis. Echocardiography confirmed a large secundum ASD with left-to-right shunt flow, right heart dilatation and severe pulmonary hypertension. The patient had a poor clinical outcome despite intensive care and eventually passed away. Haemodynamically significant ASDs have a known association with increased morbidity and mortality, and their early detection and closure cannot be understated. This article aimed to highlight the imaging features of ASD, with special emphasis on the routine chest radiograph. The pathophysiology and clinical manifestations of ASD are also briefly discussed.
doi_str_mv 10.11622/smedj.2018054
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title Clinics in diagnostic imaging (186). Atrial septal defect with pulmonary arterial hypertension
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