Cardiologia Croatica, Vol. 11 No. 1-2, 2016.
Other
https://doi.org/10.15836/ccar2016.55
Two Cases of Atrial Septal Defects Diagnosed in Adult Patients.
Margarita Brida
; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Maja Strozzi
; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Darko Anić
; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Abstract
Atrial septal defects (ASD) are the most common heart defect in adult patients and are often diagnosed late. This defect should be suspected whenever echocardiographic imaging nds an enlarged right ventricle. We report two cases of patients with newly-diagnosed ASD that were older than 50 years of age. In both cases the patients presented with arrhythmia (atrial brillation, i.e. total atrioventricular block), and a successful correction of the defect was performed. If there are no contraindications, that is primarily the development of signi cant pulmonary hypertension i.e. pulmo- nary vascular resistance, the active approach – defect closure – is recommended, since it signi cantly contributes to clinical improvement and reduction in mortality.
Keywords
adult congenital heart disease; atrial septal defect; echocardiography; pulmonary hypertension; Amplatzer occluder
Hrčak ID:
153674
URI
Publication date:
23.2.2016.
Visits: 2.573 *