Combined contrast echocardiographic and hemodynamic evaluation of atrial septal defect associated with persistent left superior vena cava and partial anomalous pulmonary venous connection
✍ Scribed by N. Ferrara; A. M. F. Zarra; C. Vigorito; G. Longobardi; A. Giordano; F. Rengo
- Publisher
- John Wiley and Sons
- Year
- 1987
- Tongue
- English
- Weight
- 353 KB
- Volume
- 15
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
An enlarged coronary sinus may be detected by M-mode and cross-sectional echocardiography . The most common congenital anomalies associated with an enlarged coronary sinus are persistent left superior vena cava (PLSVC) and total or partial anomalous pulmonary venous connection (PAPVC) to the coronary sinus.2 Contrast echocardiography can be very helpful in these two abn~rmalities.~
In this case report we describe a combined contrast echocardiographic and hemodynamic evaluation of an atrial septal defect associated with PLSVC draining into the coronary sinus and PAPVC into the right superior vena cava (RSVC).
CASE REPORT
A.E., a 14-year-old child with a midsystolic ejection murmur, was referred for evaluation. The electrocardiogram showed right-axis deviation and right ventricular hypertrophy; chest roentgenogram revealed enlargement of the right atrium and right ventricle and pulmonary artery dilatation. M-mode and cross-sectional echocardiography showed a dilatation of the right atrium and right ventricle, abnormal septal motion, an enlarged coronary sinus visualized as a distinct circular structure lying posteriorly in the atrioventricular junction (Fig. l), and the presence of an echo-free gap in the high atrial septum near the entry of RSVC into the right atrium. Contrast two-dimensional echocardiography performed by From the