Close
Help




JOURNAL

Clinical Medicine Insights: Cardiology

Atrial Septal Defects – Clinical Manifestations, Echo Assessment, and Intervention

Submit a Paper


Clinical Medicine Insights: Cardiology 2014:Suppl. 1 93-98

Review

Published on 23 Mar 2015

DOI: 10.4137/CMC.S15715


Further metadata provided in PDF



Sign up for email alerts to receive notifications of new articles published in Clinical Medicine Insights: Cardiology

Abstract

Atrial septal defect (ASD) is a common congenital abnormality that occurs in the form of ostium secundum, ostium primum, sinus venosus, and rarely, coronary sinus defects. Pathophysiologic consequences of ASDs typically begin in adulthood, and include arrhythmia, paradoxical embolism, cerebral abscess, pulmonary hypertension, and right ventricular failure. Two-dimensional (2D) transthoracic echocardiography with Doppler is a central aspect of the evaluation. This noninvasive imaging modality often establishes the diagnosis and provides critical information guiding intervention. A comprehensive echocardiogram includes evaluation of anatomical ASD characteristics, flow direction, associated abnormalities (eg, anomalous pulmonary veins), right ventricular anatomy and function, pulmonary pressures, and the pulmonary/systemic flow ratio. The primary indication for ASD closure is right heart volume overload, whether symptoms are present or not. ASD closure may also be reasonable in other contexts, such as paradoxical embolism. ASD type and local clinical expertise guide choice of a percutaneous versus surgical approach to ASD closure.



Downloads

PDF  (1.15 MB PDF FORMAT)

RIS citation   (ENDNOTE, REFERENCE MANAGER, PROCITE, REFWORKS)

BibTex citation   (BIBDESK, LATEX)

XML

PMC HTML


Sharing


What Your Colleagues Say About Clinical Medicine Insights: Cardiology
My co-authors and I had a very positive experience with the review and publication process in Clinical Medicine Insights: Cardiology.  The review was on point, and publication was also rapid and allowed us the needed revisions in the proof preparation process.
Professor Roberto Pedrinelli (Universita di Pisa, Pisa, Italy)
More Testimonials

Quick Links


New article and journal news notification services
Email Alerts RSS Feeds
Facebook Google+ Twitter
Pinterest Tumblr YouTube