Isolated ostium secundum atrial septal defect (OS-ASD) may rarely lead to severe symptoms in infancy. Over a period of four years, 12 infants admitted to our hospital with severe congestive heart failure had an isolated OS-ASD. Their echocardiographic findings, clinical course, and outcome were outlined. All 12 infants had atypical findings including a holosystolic murmur parasternally and abse...

Atrial septal defect (ASD) is a common cardiac anomaly that may be first encountered in the adults and occurs more frequently in females. ASD accounts for 10% of congenital cardiac defects in adults. A 50 year old female patient posted for Total Abdominal Hysterectomy was diagnosed to have ostium secundum large ASD with mild tricuspid regurgitation with moderate pulmonary hypertension and mild ...

To cite: Bhattacharyya PJ. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-217817 DESCRIPTION A 50-year-old woman with no cardiovascular risk factors was evaluated for easy fatigability and progressive dyspnoea on exertion for the last 1 year. Cardiac auscultation revealed a normal first heart sound, an ejection systolic murmur at the upper left sternal bord...

Nineteen-year-old girl operated for ostium secundum ASD sustained injury to the left innominate vein during sternotomy, and was repaired immediately. Pulse Doppler (Fig. 1) revealed continuous flow across the fistula and DSA (Fig. 2) showed flow to the left innominate vein into the superior vena cava. Fistula successfully repaired on 10th postoperative day. European Journal of Cardio-thoracic S...

Right sided aortic arch is an uncommon congenital anomaly. It can be classified into three types, depending on the left aortic arch's degenerating pattern and the branching pattern of the great vessels. It can be associated with major congenital heart disease, depending on the type of right sided aortic arch. We report a case of an 18-years-old female who has right sided aortic arch with atrial...

Secundum Atrial septal defect (ASD) and Patent foramen ovale (PFO) is becoming the most popular field of interest for catheter-based interventions. While there is a common agreement about the management of ASD patients, there is no complete agreement on which is the best management of PFO patients. In PFO patients, the real challenge for the clinician, beside secondary prevention of recurrent s...

Nowadays transcatheter closure of atrial septal defects (ASDs) is a reality in the vast majority of countries; this procedure can be done safely and effectively in skilled hands and with the appropriate devices. Accurate and precise knowledge of the anatomy of the secundum atrial septal defect and the nearby structures is essential for the effectiveness and safe performance of ASD closure. Impr...

A trial septal defects (ASDs) are one of the most common congenital heart defects, with a prevalence estimated to affect 100 of 100,000 live births.1 ASDs are classified according to location, the most frequent being secundum ASD (75%–80%), primum ASD (15%–20%), sinus venosus (5%–10%), and the less common defect, coronary sinus (< 1%). These defects frequently result in left-to-right shunting. ...

We present the case of a patient who underwent a percutaneous secundum atrial septal defect (ASD II) closure with an undersized septal occluder device. One week and one month later she experienced two transient ischemic attacks. Three-dimensional transesophageal echocardiography (TEE) revealed a residual patent foramen ovale (PFO) with a positive Valsalva bubble test. She underwent a second pro...

OBJECTIVES The purpose of this study was to assess the comparative effectiveness and long-term safety of transcatheter versus surgical closure of secundum atrial septal defects (ASD) in adults. BACKGROUND Transcatheter ASD closure has largely replaced surgery in most industrialized countries, but long-term data comparing the 2 techniques are limited. METHODS We performed a retrospective pop...