Fenestrated Atrial Septal Aneurysm: Diagnosis by Transesophageal Echocardiography

Fenestrated Atrial Septal Aneurysm: Diagnosis by Transesophageal Echocardiography

The diagnosis of atrial septal defect by transthoracic echocardiography remains difficult in a small subset of patients because of either suboptimal acoustic windows or unusual anatomy, for example, fenestrated defects. We report the case of a 55-year-old woman with a fenestrated atrial septal aneur...

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Veröffentlicht in:Journal of the American Society of Echocardiography 1990-11, Vol.3 (6), p.499-501
Hauptverfasser: Burstow, Darryl J., McEniery, Paul T., Stafford, E. Gregory
Format: Artikel
Sprache:eng
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Echocardiography - methods
Female
Heart Aneurysm - diagnostic imaging
Heart Septum - diagnostic imaging
Humans
Middle Aged
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container_title Journal of the American Society of Echocardiography
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creator Burstow, Darryl J.
McEniery, Paul T.
Stafford, E. Gregory
description The diagnosis of atrial septal defect by transthoracic echocardiography remains difficult in a small subset of patients because of either suboptimal acoustic windows or unusual anatomy, for example, fenestrated defects. We report the case of a 55-year-old woman with a fenestrated atrial septal aneurysm that was incompletely visualized by transthoracic echocardiography. Subsequent transesophageal echocardiography demonstrated three defects within the atrial septal aneurysm with left-to-right shunting across each defect. Normal pulmonary venous connections were also defined. All echocardiographic findings were confirmed at surgery. This case demonstrates the additional diagnostic accuracy of transesophageal echocardiography for detecting disease of the atrial septum.
doi_str_mv 10.1016/S0894-7317(14)80368-4
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subjects Echocardiography - methods
Female
Heart Aneurysm - diagnostic imaging
Heart Septum - diagnostic imaging
Humans
Middle Aged
title Fenestrated Atrial Septal Aneurysm: Diagnosis by Transesophageal Echocardiography
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