Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal Defects
This review centers on the usefulness of echo-Doppler studies in the diagnosis of ostium secundum atrial septal defects (ASDs) and in their management, both in children and adults. Transthoracic echocardiography can easily identify the secundum ASDs and also differentiate secundum ASDs from other ki...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/12/6/1494 |
| _version_ | 1797488226567454720 |
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| author | P. Syamasundar Rao |
| author_facet | P. Syamasundar Rao |
| author_sort | P. Syamasundar Rao |
| collection | DOAJ |
| description | This review centers on the usefulness of echo-Doppler studies in the diagnosis of ostium secundum atrial septal defects (ASDs) and in their management, both in children and adults. Transthoracic echocardiography can easily identify the secundum ASDs and also differentiate secundum ASDs from other kinds of ASDs, such as ostium primum ASD, sinus venosus ASD and coronary sinus ASD, as well as patent foramen ovale. Preliminary selection of patients for device occlusion can be made by transthoracic echocardiograms while final selection is based on transesophageal (TEE) or intracardiac (ICE) echocardiographic studies with optional balloon sizing of ASDs. TEE and ICE are extremely valuable in guiding device implantation and in evaluating the position of the device following its implantation. Echo-Doppler evaluation during follow-up is also useful in documenting improvements in ventricular size and function, in assessing the device position, in detecting residual shunts, and in identifying rare device-related complications. Examples of echo images under each section are presented. The reasons why echo-Doppler is very valuable in diagnosing and managing ASDs are extensively discussed. |
| first_indexed | 2024-03-09T23:59:03Z |
| format | Article |
| id | doaj.art-1d76bf9edb9b4e1296957e0d408dc902 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T23:59:03Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-1d76bf9edb9b4e1296957e0d408dc9022023-11-23T16:19:06ZengMDPI AGDiagnostics2075-44182022-06-01126149410.3390/diagnostics12061494Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal DefectsP. Syamasundar Rao0Children’s Heart Institute, University of Texas-Houston McGovern Medical School, Children’s Memorial Hermann Hospital, UTPB Suite # 425, Houston, TX 77030, USAThis review centers on the usefulness of echo-Doppler studies in the diagnosis of ostium secundum atrial septal defects (ASDs) and in their management, both in children and adults. Transthoracic echocardiography can easily identify the secundum ASDs and also differentiate secundum ASDs from other kinds of ASDs, such as ostium primum ASD, sinus venosus ASD and coronary sinus ASD, as well as patent foramen ovale. Preliminary selection of patients for device occlusion can be made by transthoracic echocardiograms while final selection is based on transesophageal (TEE) or intracardiac (ICE) echocardiographic studies with optional balloon sizing of ASDs. TEE and ICE are extremely valuable in guiding device implantation and in evaluating the position of the device following its implantation. Echo-Doppler evaluation during follow-up is also useful in documenting improvements in ventricular size and function, in assessing the device position, in detecting residual shunts, and in identifying rare device-related complications. Examples of echo images under each section are presented. The reasons why echo-Doppler is very valuable in diagnosing and managing ASDs are extensively discussed.https://www.mdpi.com/2075-4418/12/6/1494echocardiographyDoppleratrial septal defectdevice occlusionAmplatzer Septal OccluderGore HELEX devices |
| spellingShingle | P. Syamasundar Rao Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal Defects Diagnostics echocardiography Doppler atrial septal defect device occlusion Amplatzer Septal Occluder Gore HELEX devices |
| title | Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal Defects |
| title_full | Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal Defects |
| title_fullStr | Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal Defects |
| title_full_unstemmed | Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal Defects |
| title_short | Role of Echocardiography in the Diagnosis and Interventional Management of Atrial Septal Defects |
| title_sort | role of echocardiography in the diagnosis and interventional management of atrial septal defects |
| topic | echocardiography Doppler atrial septal defect device occlusion Amplatzer Septal Occluder Gore HELEX devices |
| url | https://www.mdpi.com/2075-4418/12/6/1494 |
| work_keys_str_mv | AT psyamasundarrao roleofechocardiographyinthediagnosisandinterventionalmanagementofatrialseptaldefects |