Echocardiographic features of atrial septal defect

Echocardiographic studies were performed on 39 adult patients with atrial septal defects. Findings were compared with those from normal subjects, patients with other congenital left-to-right shunts (ventricular septal defect and patent ductus arteriosus), patients with uncomplicated right ventricula...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 1971-01, Vol.43 (1), p.129-135
Hauptverfasser: Diamond, M A, Dillon, J C, Haine, C L, Chang, S, Feigenbaum, H
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container_end_page 135
container_issue 1
container_start_page 129
container_title Circulation (New York, N.Y.)
container_volume 43
creator Diamond, M A
Dillon, J C
Haine, C L
Chang, S
Feigenbaum, H
description Echocardiographic studies were performed on 39 adult patients with atrial septal defects. Findings were compared with those from normal subjects, patients with other congenital left-to-right shunts (ventricular septal defect and patent ductus arteriosus), patients with uncomplicated right ventricular pressure overload (pulmonic stenosis and pulmonary hypertension), and patients with pulmonary hypertension complicated by tricuspid regurgitation. Two echocardiographic features were assessed: 1) a right ventricular dimension, or RVD Index, representing the distance between the right ventricular epicardial echoes and echoes from the right side of the interventricular septum divided by the patient's body surface area, and 2) motion of the interventricular septum. The increased RVD Index and abnormal septal motion observed in the patients with atrial septal defects provided an ultrasound complex that could clearly separate these patients from normal individuals, those with ventricular septal defect and patent ductus arteriosus, and those with uncomplicated right ventricular pressure overload. However, patients with tricuspid regurgitation could not be differentiated from the group with atrial septal defects, indicating that this echocardiographic complex reflected a volume overload of the right ventricle.
doi_str_mv 10.1161/01.CIR.43.1.129
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Adolescent
Adult
Diagnosis, Differential
Ductus Arteriosus, Patent - diagnosis
Echocardiography
Female
Heart Septal Defects, Atrial - diagnosis
Heart Septal Defects, Ventricular - diagnosis
Humans
Hypertension, Pulmonary
Male
Middle Aged
Pulmonary Heart Disease - diagnosis
Tricuspid Valve Stenosis - diagnosis
Ultrasonography
title Echocardiographic features of atrial septal defect
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