Vol. 8 (02) pp. 751-754 DOI: 10.21474/IJAR01/10505

SINUS VENOUS ATRIAL SEPTAL DEFECT: TTE CHALLENGING DIAGNOSIS

, , , , , , , , and
  • Centre de Cardiologie de lHopital Militaire dInstruction Mohamed V.
19 Downloads 105 Views
Crossref

Download Full Paper (PDF)

Abstract

Introduction: The atrial septal defects are the most common congenital heart diseases moreover the Sinus venous atrial septal defect (SVD) is a rare cardiac abnormality, particularly difficult to diagnose. It is commonly associated anomalous with anomalous pulmonary venous return. The conventional treatment is Surgery. Case report: We report a case of a 61 year old man with medical history only significant for diabetes mellitus. He undergone a chest X rays for his annual medical examination which showed a cardiomegaly A transthoracic echocardiographies (TTE) examination done previously in other centers showed a dilated right heart chambers with a moderate pulmonary hypertension, but did not show any ASD. He was referred for a dilated right chambers misdiagnosed as a pulmonary hypertension. The TTE revealed a Sinus venosus atrial septal (SVASD) defect seen in the sub costal view. TEE confirmed the diagnosis showing a large SVASD of 20 mm with left-right shunt (Qp/Qs 2, 05). Conclusion: The diagnosis of SVASD is difficult and requires special imaging. But when there is any suspicion of ASD, especially with patients who have unexplained dilated right ventricle and a pulmonary hypertension, the sub-costal view on the TTE can be useful.

Article Analytics

References

  1. Webb G, Gatzoulis MA. Atrial septal defects in the adult: recent progress and overview. Circulation 2006 114:1645?53.
  2. Davia JE, CheitlinMD, Bedynek JL. Sinus venosus atrial septal defect. Am Heart J 1973 85:177?85.
  3. Vogel M, Berger F, Kramer A, Alexi-Meshkishvili V, Lange PE. Incidence of secondary pulmonary hypertension in adults with atrial septal or sinus venosus defects. Heart 1999 82, 30?33.5.
  4. Alsoufi B, Cai S, van Arsdell GS, et al: Outcomes after surgical treatment of children with partial anomalous pulmonary venous connection. Ann Thorac Surg 84(6):2020?2026, 2007.
  5. Gaca AM, Jaggers JJ, Dudley LT, Bisset GS. Repair of congenital heart disease: a primer-part 1. Radiology 2008 247: 617?31.
  6. Brickner ME, Hillis LD, Lange RA. Congenital heart disease in adults- first of two parts. N Engl J Med 2000 342:256?63.
  7. Yaser SM Alhamshari, Chitra Punjabi, Gregg S Pressman, Anita Govil. Sinus venosus atrial septal defect presenting with brain abscesses in a 77-year-old immunocompetent patient. BMJ Case Rep2015
  8. Oliver JM, Gallego P, Gonzalez A, Dominguez FJ, Aroca A, Mesa JM. Sinus venosus syndrome: atrial septal defect or anomalous venous connection? A multiplane transoesophageal approach. Heart 2002 88:634?8.
  9. Pascoe RD, Oh JK, Warnes CA, Danielson GK, Tajik AJ, Seward JB. Diagnosis of sinus venosus atrial septal defect with transesophageal echocardiography. Circulation 199694: 1049?55.
  10. Valente AM, Sena L, Powell AJ, Del Nido PJ, Geva T. Cardiac magnetic resonance imaging evaluation of sinus venosus defects: comparison to surgical findings. Pediatr Cardiol 2007 28 :51?6.
  11. Haramati LB, Moche IE, Rivera VT, Patel PV, Heyneman L, McAdams HP, Issenberg HJ, White CS. Computed tomography of partial anomalous pulmonary venous connection in adults. J Comput Assist Tomogr 2003 27:743?9.
  12. Charlotte A. Houck, MD, Reinder Evertz, MD,Christophe P. Teuwen, MD, Jolien W. Roos-Hesselink, MD, PhD, Toon Duijnhouwer, MD,Ad J.J.C. Bogers, MD, PhD,Natasja M.S. de Groot, MD, PhD Time course and interrelationship of dysrhythmias in patients with surgically repaired atrial septal defect .Heart Rhythm 201815:341?347) ? 2017 Heart Rhythm Society.
  13. Morton JB, Sanders P, Vohra JK, Sparks PB, Morgan JG, Spence SJ, Grigg LE, Kalman JM. Effect of chronic right atrial stretch on atrial electrical remodeling in patients with an atrial septal defect. Circulation 2003107:1775?1782.
  14. Warnes CA. The adult with congenital heart disease: born to be bad? J Am Coll Cardiol 200546:1?8.
  15. Ravelli F, Mase M, del Greco M, Marini M, Disertori M. Acute atrial dilatation slows conduction and increases AF vulnerability in the human atrium. J Cardiovasc Electrophysiol 201122:394?401.

How to Cite This Article

S. Ahchouch, R. Ballouk, O. Ait Kajjat, M. Malki, M. Boumaaz, N. Loudiyi, A. Zaimi, I. Asfalou, M. Raissouni and A. Benyass (2020); SINUS VENOUS ATRIAL SEPTAL DEFECT: TTE CHALLENGING DIAGNOSIS, Int. J. of Adv. Res., 8 (02), 751-754, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/10505

Corresponding Author

ahchouch.sara@gmail.com
1
Creative Commons Attribution 4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.