Document Detail


Identification of unusual conditions after atrial septal defect repair by systematic transthoracic echocardiographic assessment.
MedLine Citation:
PMID:  18771546     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There is a lack of echocardiographic studies to address the detection of atrial masses and abnormal venous connections in patients with secundum atrial septal defect (ASD) repair. This study sought to demonstrate that with proper technique, these unusual conditions could be diagnosed confidently by transthoracic echocardiography. METHOD: We performed a retrospective review of all repaired ASD patients of all ages with follow-up echocardiography done at Beijing Anzhen Hospital from year 1999 to 2005. Clinical and echocardiographic features of patients with aforementioned conditions were evaluated. RESULTS: Systematic echocardiographic protocol identified 11 patients with unusual conditions, in whom four patients had atrial masses (three atrial thrombi, one inflammatory pseudotumor) and seven patients had abnormal venous connections (two inadvertent diversion of inferior vena cava to left atrium, five previously unrecognized partial anomalous pulmonary venous connections). CONCLUSION: Atrial masses and abnormal venous connections could be diagnosed through a systematic echocardiographic approach in evaluating patients with ASD repair.
Authors:
Fang Fang; Yat-Yin Lam; Zhi-An Li; Ya Yang; Yat-Sun Chan; Cheuk-Man Yu
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Publication Detail:
Type:  Journal Article     Date:  2008-09-02
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  25     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-06     Completed Date:  2009-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1094-100     Citation Subset:  IM    
Affiliation:
Ultrasound Department, Beijing AnZhen Hospital, Capital Medical University, Beijing, China. fangfang ff@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiovascular System / pathology
Child, Preschool
Echocardiography*
Female
Follow-Up Studies
Heart Septal Defects, Atrial / surgery,  ultrasonography*
Humans
Male
Middle Aged
Postoperative Complications*
Retrospective Studies
Vascular Malformations / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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