6,792 results match your criteria Imaging in Atrial Septal Defects


Provocation and localization of atrial ectopy in patients with atrial septal defects.

J Interv Card Electrophysiol 2022 Jun 23. Epub 2022 Jun 23.

Division of Imaging Sciences and Biomedical Engineering, King's College London, 4thFloor North Wing, St. Thomas' Hospital, London, SE1 7EH, UK.

Background: Atrial fibrillation (AF) is associated with atrial septal defects (ASDs), but the mechanism of arrhythmia in these patients is poorly understood. We hypothesised that right-sided atrial ectopy may predominate in this cohort. Here, we aimed to localise the origin of spontaneous and provoked atrial ectopy in ASD patients. Read More

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When a Pacemaker Leads to a New Diagnosis.

Circ Cardiovasc Imaging 2022 Jun 23:101161CIRCIMAGING122013995. Epub 2022 Jun 23.

Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston. (D.C.P., A.P., D.E.C., J.P.B.).

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Redirection of Persistent Left Superior Vena Cava Using a Turned-In Left Atrial Appendage.

Innovations (Phila) 2022 May-Jun;17(3):247-249

Pediatric Cardiovascular Surgery, 111319Istanbul Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Persistent left superior cava mostly drains into the right atrium via the coronary sinus. It rarely drains into the left atrium. Extracardiac and intracardiac repair techniques have been described for the repair of persistent left superior vena cava draining into the left atrium. Read More

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Altered Cerebral Microstructure in Adults With Atrial Septal Defect and Ventricular Septal Defect Repaired in Childhood.

J Am Heart Assoc 2022 Jun 14;11(12):e020915. Epub 2022 Jun 14.

Department of Clinical Medicine Aarhus University Denmark.

Background Delayed brain development, brain injury, and neurodevelopmental disabilities are commonly observed in infants operated for complex congenital heart defect. Our previous findings of poorer neurodevelopmental outcomes in individuals operated for simple congenital heart defects calls for further etiological clarification. Hence, we examined the microstructural tissue composition in cerebral cortex and subcortical structures in comparison to healthy controls and whether differences were associated with neurodevelopmental outcomes. Read More

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Secundum atrial septal defects transcatheter closure: An updated reappraisal.

Cardiovasc Revasc Med 2022 Jun 6. Epub 2022 Jun 6.

Section of Internal and Cardiopulmonary Medicine, Department of Medical Science, University of Ferrara, Ferrara, Italy.

Transcatheter device-based closure is considered the first line therapy for congenital secundum atrial septal defect (ASD). The last 20 years literature data have been reviewed to offer an updated reappraisal of current evidences. Anatomical and functional details, appreciated at both pre-procedural and intraprocedural steps, remain of paramount importance for planning ASD transcatheter -based closure procedure. Read More

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A case of cryptogenic stroke in a young woman with a patent foramen ovale.

Aust J Gen Pract 2022 Jun;51(6):401-403

MBBS (Hons), PhD, FRACP, FCSANZ, Director of Cardiology, St George Public Hospital and Hurstville Private Hospital, NSW; Senior Staff Specialist in Cardiology, St George Hospital, NSW; Conjoint Senior Lecturer, University of New South Wales, NSW.

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Paradoxical embolisation in right-sided infective endocarditis and patent foramen ovale.

BMJ Case Rep 2022 May 27;15(5). Epub 2022 May 27.

Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA

Intravenous drug use (IVDU) is a growing public health crisis worldwide. A known complication of IVDU is right-sided infective endocarditis (RSIE) involving the tricuspid valve. As the tricuspid valve is burdened with infectious vegetations, it becomes a potential source of pulmonary and, very rarely, paradoxical systemic emboli. Read More

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[Successful Surgical Correction of Partial Atrioventricular Septal Defect in an Elderly Patient:Report of a Case].

Kyobu Geka 2022 Jun;75(6):461-465

Department of Cardiovascular Surgery, Odawara Cardiovascular Hospital, Odawara, Japan.

There are only few reports on surgery for partial atrioventricular septal defect( pAVSD) in patients aged over 70 years. This report is about successful surgical correction of pAVSD in a 79-year-old women. Echocardiography showed left-sided atrioventricular valve regurgitation with cleft and ostium primum atrial septal defect, but without ventricular septal defect. Read More

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[Lung Cancer Associated with Atrial Septal Aneurysm Detected on Preoperative Echocardiogram].

Kyobu Geka 2022 Jun;75(6):437-440

Department of General Thoracic Surgery, Ise Municipal General Hospital, Ise, Japan.

We herein report a case of 71-year-old man who was diagnosed as right lung cancer associated with atrial septal aneurysm (ASA). ASA was incidentally detected on transthoracic echocardiography as a routine preoperative examination. Although upper lobectomy was performed without any postoperative event in this case, generally care must be taken for important comorbidity of cerebral infarction as a potential source of systemic thromboembolism both in pre- and post-surgery. Read More

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Intraoperative Collateral Drainage Evaluation Before Superior Caval Interruption in Partial Anomalous Pulmonary Venous Connection Repair.

Innovations (Phila) 2022 May-Jun;17(3):244-246. Epub 2022 May 13.

Cardiovascular Surgery, 16493Hospital Clínic, University of Barcelona, Spain.

A superior sinus venosus atrial septal defect and partial anomalous pulmonary venous connection was corrected by a minimally invasive approach by permanently ligating the superior vena cava and a single pericardial patch for rerouting the flow through the enlarged interatrial communication. The patient had persistency of the left superior vena cava draining in the coronary sinus but no innominate vein. This anatomy poses a risk of developing right-sided superior vena cava syndrome. Read More

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An Atrial Septal Ridge Diagnosed by Transesophageal Echocardiography.

Methodist Debakey Cardiovasc J 2022 18;18(1):14-16. Epub 2022 Apr 18.

Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.

A left atrial ridge is an anomaly of irregular fusion between the septum primum and septum secundum.1 Aberrant fusion of the septa results in thickened and fibrotic tissue along the region of the fossa ovalis that will occasionally protrude into the left atrium.2 The presence of a left atrial ridge has multiple clinical implications due to its close proximity to the fossa ovalis. Read More

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Short-term results of percutaneous closure of a patent foramen ovale guided by transoesophageal echocardiography in patients with cryptogenic stroke: a retrospective study.

J Cardiothorac Surg 2022 May 3;17(1):96. Epub 2022 May 3.

Department of Cardiovascular Surgery, The Second Affiliated Hospital of Hainan Medical University, 48th of Bai Shui Tang Road, Haikou, Hainan, 570311, People's Republic of China.

Background: A patent foramen ovale (PFO) is a risk factor for cryptogenic stroke (CS), and interventional therapy for PFO can reduce the recurrence rate of CS. However, interventional therapies are primarily guided by X-ray imaging, and data on regular post-surgical follow-up with the transthoracic ultrasound foaming test (UFT) are rare. Thus, this study aimed to assess the short-term (12 months) results of PFO occlusion guided by transoesophageal echocardiography (TEE) and the results of regular UFTs. Read More

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Anomalous Connection of the Left Pulmonary Vein to the Coronary Sinus with Intact Atrial Septum in a Young Woman.

Heart Surg Forum 2022 Mar 29;25(2):E256-E258. Epub 2022 Mar 29.

Department of Cardiovascular Surgery, Weifang People's Hospital, Weifang, China.

Background: Left-sided partial anomalous pulmonary venous connection (PAPVC) is a rare congenital abnormal cardiac defect. An intact atrial septum is more uncommon. As we know, a connection of the left pulmonary vein (LPV) to the coronary sinus (CS) with an intact atrial septum has not been previously reported. Read More

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A rare congenital anomaly: Anomalous fibromuscular cord of the left atrium.

J Card Surg 2022 Jul 26;37(7):2107-2109. Epub 2022 Apr 26.

Department of Echocardiography, Wuhan Asia Heart Hospital, Wuhan, Hubei, P.R. China.

Background: Left atrial anomalous fibromuscular cord is a rare congenital anomaly, which exists in a small proportion of the general population. Although its clinical significance remains largely unknown, it is generally considered a benign entity. We report a case of incidental finding of left atrial fibromuscular cord without structural cardiac abnormalities or hemodynamic obstruction. Read More

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Rare case of mesocardia with ostium secundum ASD and double IVC.

BMJ Case Rep 2022 Apr 25;15(4). Epub 2022 Apr 25.

Kasturba Medical College Manipal, Udupi, Karnataka, India

We report an extremely rare case of mesocardia with double inferior vena cava (IVC) in this case report. The patient's associated atrial septal defect (ASD) with left to right shunt leading to pulmonary congestion and recurrent episodes of pneumonia was the leading diagnosis for which care was sought at our hospital. The diagnoses of these rare congenital cardiac anomalies were uncovered only after a thorough workup. Read More

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Changing of Left Atrial Function Index in Symptomatic Patients with Patent Foramen Ovale After Device Closure.

Turk Kardiyol Dern Ars 2022 04;50(3):175-181

Division of Cardiology, Rovigo General Hospital, Rovigo, Italy.

Background: Left atrial function is impaired in patients with patent foramen ovale. This study aimed to evaluate the role of left atrial function index in monitoring the course of left atrial function in a patient with patent foramen ovale before and after percutaneous closure.

Methods: We retrospectively reviewed the findings of consecutive patients evaluated in our tertiary center for patent foramen ovale closure to identify those subjects with acute ischemic stroke, transient ischemic attack, or radiological evidence of cerebral ischemic events (index event) who performed a complete echocardiography evaluation reporting evidence of patent foramen ovale between September 2004 and September 2018. Read More

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Retinal vascular occlusion in pregnancy: three case reports and a review of the literature.

J Med Case Rep 2022 Apr 21;16(1):167. Epub 2022 Apr 21.

Department of Ophthalmology, University of Duesseldorf, Moorenstr. 5, D-40225, Düsseldorf, Germany.

Background: Retinal arterial occlusive events in young patients are rare. However, because of physiological multifactorial adaptations during pregnancy, retinal vascular occlusive disease may occur spontaneously. In addition, a patent foramen ovale is a risk factor for an ischemic thromboembolic event. Read More

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Evolving Approach in Hypoplastic Left Heart Syndrome With Restrictive and Intact Septum.

World J Pediatr Congenit Heart Surg 2022 05;13(3):311-320

105565Department of Congenital Cardiac Surgery and Pediatric Cardiology, Freeman Hospital, Newcastle Upon Tyne, UK.

Hypoplastic left heart syndrome (HLHS) with either intact atrial septum (IS) or highly restrictive interatrial communication (HRIC) is associated with poor survival. Immediate postpartum access to cardiac therapy and timely left atrial decompression (LAD) are paramount to a successful outcome. We describe herein our evolving approach to LAD and report interstage and longer-term results. Read More

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Childhood cardiovascular morphology and function following abnormal fetal growth.

Heart Vessels 2022 Apr 15. Epub 2022 Apr 15.

Children's Hospital, Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Stenbäckinkatu 9, POB 347, 00029, Helsinki, Finland.

Studies examining the link between abnormal fetal growth and cardiac changes in childhood have presented conflicting results. We studied the effect of abnormal fetal growth on cardiac morphology and function during childhood, while controlling for body size, composition and postnatal factors. We report on the follow-up of 90 children (median age 5. Read More

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Evaluation of Liver Stiffness After Atrial Septal Defect Closure.

Ultrasound Q 2022 Jun 1;38(2):165-169. Epub 2022 Jun 1.

Internal Medicine, University of Health Sciences-Adana Health Practice and Research Center, Adana, Turkey.

Abstract: In this study, we aimed to evaluate the liver stiffness (LS) values and the right ventricle (RV) functions after atrial septal defect (ASD) closure treatment. Sixty-six patients were included (38 female, 28 male) in the study. Patients were grouped into 3 subgroups (group I = 21 patients without ASD closure, group II = 38 patients who underwent ASD closure, and group III = 11 patients with ASD and Eisenmenger syndrome). Read More

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Phase contrast cardiac magnetic resonance imaging versus transoesophageal echocardiography for the evaluation of feasibility for transcatheter closure of atrial septal defects.

Egypt Heart J 2022 Apr 13;74(1):27. Epub 2022 Apr 13.

Department of Cardiology, SKIMS, Srinagar, J&K, India.

Background: This prospective study was aimed at comparing phase contrast cardiac magnetic resonance imaging (PC-CMR) with 2D transoesophageal echocardiography (TEE) for determining potential candidature for transcatheter closure in ostium secundum ASD (OS-ASD) patients. We included consecutive adult patients with OS-ASD for the evaluation of feasibility for transcatheter closure using 2D-TEE and PC-CMR over a period of 2 years. Patients who fulfilled the conventional criteria for transcatheter closure, i. Read More

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Successful Usage of FlexCath Steerable Catheter in Case of Atrial Septal Closure Device Comes Perpendicular to Interatrial Septum.

Turk Kardiyol Dern Ars 2022 03;50(2):112-116

Kardiyoloji Bölümü, Dr. Siyami Ersek Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye.

Objective: Percutaneous closure of atrial septal defects is challenging in cases where the device is perpendicular to the septum during the procedure. Hence, different techniques, maneuvers, and auxiliary equipment may be required. We aimed to demonstrate the effectiveness of the FlexCath steerable catheter application in percutaneous closure of atrial septal defect cases in which the device was perpendicular to the septum. Read More

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Imaging characteristics and associations of left atrioventricular valve atresia and patent aortic root with isometric atrial appendages on multidetector CT.

J Card Surg 2022 Jul 8;37(7):1928-1936. Epub 2022 Apr 8.

Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

Aim: The present study sought to study the imaging associations of left atrioventricular valve (mitral) atresia and patent aortic root in patients with isomerism of atrial appendages as detected on multidetector computed tomography (CT) angiography MATERIALS AND METHODS: The CT angiography studies performed at a tertiary medical center from January 2014 to December 2021 were retrospectively evaluated to identify patients with left atrioventricular valve atresia and patent aortic root with isometric atrial chambers. The morphology of the atrial appendage and extent of pectinate muscles was used to identify the type of isomeric atrial chambers. A comprehensive assessment of discordant arrangement of organs and the variations in venoatrial connections was done. Read More

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Hyperpolarized Xe Pulmonary MRI and Asymptomatic Atrial Septal Defect.

Chest 2022 04;161(4):e199-e202

Division of Cardiology, Department of Medicine, Western University, London, Canada.

In an asymptomatic 19-year-old who regularly underwent cardiopulmonary fitness testing for national lifeguard-accreditation, Xe MRI unexpectedly revealed an abnormally augmented RBC signal and RBC-to-alveolar-capillary-tissue ratio with spatially homogeneous ventilation, tissue barrier, and RBC images. Pulmonary function was normal, but cardiopulmonary follow-up including transthoracic and transesophageal echocardiogram, heart catheterization, and contrast-enhanced cardiac CT imaging led to the diagnosis of a large (20 × 27 mm) secundum atrial septal defect (ASD) with a net right-to-left shunt (Qp:Qs = 0.5) and normal pulmonary pressures. Read More

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Platypnoea-orthodeoxia syndrome and hemidiaphragm paralysis.

BMJ Case Rep 2022 Apr 5;15(4). Epub 2022 Apr 5.

Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK.

A woman in her 70s was admitted to hospital with worsening shortness of breath and no prior respiratory history of note. This patient's shortness of breath was posture-dependent; symptoms were markedly worse and oxygen saturations were lower on sitting upright than in recumbency. Her shortness of breath had started several weeks prior to admission and had slowly worsened. Read More

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Hereditary haemorrhagic telangiectasia with atrial septal defect and pulmonary hypertension during advanced pregnancy: a case report and literature review.

J Int Med Res 2022 Mar;50(3):3000605221085427

Department of Gynaecology and Obstetrics, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.

Pregnancy complicated with hereditary haemorrhagic telangiectasia (HHT) is a rare condition. This case report presents an extremely rare case with the co-occurrence of HHT and congenital heart disease. In this report, a 43-year-old woman at 36 + 4 weeks of gestation experienced haemoptysis with a volume of approximately 300 ml for the first time. Read More

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Transcatheter leadless permanent pacemaker in complex congenital heart disease with interrupted inferior vena cava: A challenging implantation.

Indian Pacing Electrophysiol J 2022 May-Jun;22(3):165-168. Epub 2022 Mar 29.

Department of Cardiology, Eternal Hospital, Jaipur, India.

31 years lady with complete atrioventricular canal defect, large primum atrial septal defect (ASD), inlet ventricular septal defect (VSD) and Eisenmenger syndrome, presented with atrial flutter and complete heart block. She was not suitable for corrective cardiac surgery and not yet indicated for heart-lung transplantation. She was advised single chamber permanent pacemaker and eventually Micra VR transcatheter leadless pacemaker was finalised for her. Read More

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Association between patent foramen ovale and migraine without aura: a community-based cross-sectional study in China.

BMJ Open 2022 03 31;12(3):e056937. Epub 2022 Mar 31.

Department of Neurology, Sichuan University West China Hospital, Chengdu, China

Objectives: To assess the influence of patent foramen ovale (PFO) on the prevalence of migraine without aura based on propensity score-matched samples in Southwest China.

Design: Propensity-matched cross-sectional study.

Participants: Residents over 20 years of age were recruited from 15 communities of Western China from July 2020 to October 2020. Read More

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Endovascular Intervention for May-Thurner Syndrome in a Pregnant Patient with a Patent Foramen Ovale and Paradoxical Embolism.

Vasc Endovascular Surg 2022 Jul 31;56(5):517-520. Epub 2022 Mar 31.

Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

May-Thurner syndrome (MTS) is a known structural risk factor for deep vein thrombosis (DVT) and embolism. In patients with a patent foramen ovale (PFO), emboli originating from the deep veins are able to paradoxically reach the systemic circulation via the PFO, consequently resulting in transient ischemic attacks (TIA) or stroke.We report the case of a 31-year-old pregnant woman, with a recent history of TIA, who presented with chronic bilateral numbness, pain, and swelling in the lower extremities. Read More

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[Endocardial Blood Cyst in the Right Atrium:Report of a Case].

Kyobu Geka 2022 Apr;75(4):316-319

Department of Cardiovascular Surgery, Kanazawa Cardiovascular Hospital, Kanazawa, Japan.

A 74-years-old man visited our hospital complaining chest discomfort, and he was diagnosed with variant angina. However, during close examination, a tumor with some small calcified nodules was accidentally pointed out in the right atrium. We carried out surgical removal to prevent embolism. Read More

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