Document Detail

Atrial septal defect combined with partial anomalous pulmonary venous return: complete anatomic and functional characterization by cardiac magnetic resonance.
MedLine Citation:
PMID:  18852603     Owner:  NLM     Status:  MEDLINE    
The presented case regards a 17-year-old male with new-onset right bundle branch block and significantly enlarged right-heart sections as the only pathologic finding on transthoracic echocardiography. Cardiac magnetic resonance (CMR) revealed the presence of a superior sinus venosus atrial septal defect associated with a partial anomalous pulmonary venous return, with the right upper lobe pulmonary vein draining into the superior vena cava. CMR has developed in recent years into an accurate modality for non-invasive evaluation of patients with congenital heart disease, especially through improvements in quality and speed of image acquisition. With echocardiography, sinus venosus defects and anomalous pulmonary vein drainage may be more easily detected by a transoesophageal approach because of the proximity of the transducer to the atrial septum. CMR may be specifically recommended as an alternative to transoesophageal echocardiography in any patient with an unexplained dilatation of the right ventricle.
Santo Dellegrottaglie; Patrizia Pedrotti; Stefano Pedretti; Francesco Mauri; Alberto Roghi
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  9     ISSN:  1558-2027     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-14     Completed Date:  2009-01-09     Revised Date:  2009-05-28    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1184-6     Citation Subset:  IM    
Cardiac MR Unit, A. De Gasperis Department of Cardiology, Niguarda-Ca' Granda Hospital, Milan, Italy.
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MeSH Terms
Coronary Circulation*
Dilatation, Pathologic
Heart Septal Defects, Atrial / pathology*,  physiopathology
Heart Ventricles / pathology
Magnetic Resonance Imaging, Cine*
Pulmonary Circulation*
Pulmonary Veins / abnormalities,  pathology*,  physiopathology

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