Document Detail

Unusual clinical presentations of secundum atrial septal defect.
MedLine Citation:
PMID:  8404169     Owner:  NLM     Status:  MEDLINE    
Atrial septal defect (ASD) is one of the most common congenital cardiac anomalies found in the adult population. Although usually asymptomatic in childhood, ASD will be symptomatic in approximately 75 percent of adults. The most common symptoms include fatigue, dyspnea on exertion, and palpitations. However, the presentation of ASD can be protean. We present four patients with secundum ASD with unusual clinical manifestations. Patient 1 had moderately severe mitral regurgitation. Patient 2 had pulmonary edema with generalized left ventricular impairment. Patient 3 had chest pain typical of angina pectoris. Patient 4 had right-to-left shunt following an orthopedic surgical procedure. These patients had chest radiographs and electrocardiograms typical of secundum ASD, but their presentations were uncommon. In three of four of these patients, dramatic resolution of symptoms followed surgical repair of their ASD.
A Fahmy; W Schiavone
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  104     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-11-18     Completed Date:  1993-11-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1075-8     Citation Subset:  AIM; IM    
Department of Cardiology, Saint Thomas Medical Center, Akron, Ohio.
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MeSH Terms
Chest Pain / etiology
Heart Catheterization
Heart Failure / etiology
Heart Function Tests
Heart Septal Defects, Atrial / complications,  diagnosis*,  epidemiology
Middle Aged
Mitral Valve Insufficiency / etiology
Pulmonary Edema / etiology

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

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