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Secundum atrial septal defect assessed by 2D and 3D echocardiography in an adult : atrial septal defect and 3D echo
Archives of Cardiovascular Diseases 101 (2008) 69 Available on www.sciencedirect.com
IMAGES IN CARDIOVASCULAR MEDICINE
Secundum atrial septal defect assessed by 2D and 3D echocardiography in an adult : atrial septal defect and 3D echo Communication interauriculaire ostium secundum évaluée par échographie 2D et 3D P. Acar*, S. Abadir, B. Léobon Cardiologie pédiatrique, Hôpital des Enfants, Toulouse, France
Two-dimensional (2D) echocardiography was performed in a 34-year-old female with systolic murmur. The patient was NYHA class II. The 2D planes showed enlargement of the right cavities with a left to right atrial shunt. The posterior rims of the secundum atrial septal defect appeared tiny on
2D planes. Transthoracic real-time 3D echocardiography was performed using a matrix probe (1-3 MHz). 3D views of the atrial septum depicted the absence of a posterior rim contraindicating transcatheter closure. The patient was referred for surgical closure.
Figure 1. 2D echocardiography from an apical angle Left: the right atrium is enlarged and the atrial septum has a defect with posterior extension. Right: colour Doppler showing left to right atrial shunt. LA: left atrium; RA: right atrium.
Figure 2. Figure 2. 3D echocardiography 3D atrial view from the right atrium (RA) revealed the absence of the posterior rim contraindicating implantation of an atrial septal occluder. The patient underwent surgical closure.
* P. Acar, Cardiologie pédiatrique, Hôpital des Enfants, 330 av de Grande-Bretagne, 31000 Toulouse, France. E-mail: [email protected]
© 2008 Elsevier Masson SAS. All rights reserved.
IMAGES IN CARDIOVASCULAR MEDICINE
Secundum atrial septal defect assessed by 2D and 3D echocardiography in an adult : atrial septal defect and 3D echo Communication interauriculaire ostium secundum évaluée par échographie 2D et 3D P. Acar*, S. Abadir, B. Léobon Cardiologie pédiatrique, Hôpital des Enfants, Toulouse, France
Two-dimensional (2D) echocardiography was performed in a 34-year-old female with systolic murmur. The patient was NYHA class II. The 2D planes showed enlargement of the right cavities with a left to right atrial shunt. The posterior rims of the secundum atrial septal defect appeared tiny on
2D planes. Transthoracic real-time 3D echocardiography was performed using a matrix probe (1-3 MHz). 3D views of the atrial septum depicted the absence of a posterior rim contraindicating transcatheter closure. The patient was referred for surgical closure.
Figure 1. 2D echocardiography from an apical angle Left: the right atrium is enlarged and the atrial septum has a defect with posterior extension. Right: colour Doppler showing left to right atrial shunt. LA: left atrium; RA: right atrium.
Figure 2. Figure 2. 3D echocardiography 3D atrial view from the right atrium (RA) revealed the absence of the posterior rim contraindicating implantation of an atrial septal occluder. The patient underwent surgical closure.
* P. Acar, Cardiologie pédiatrique, Hôpital des Enfants, 330 av de Grande-Bretagne, 31000 Toulouse, France. E-mail: [email protected]
© 2008 Elsevier Masson SAS. All rights reserved.