Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound
Atrial septal defects (ASD) caused by traumatic events, specifically blunt cardiac trauma, are considered an infrequent occurrence, yet their true prevalence has been difficult to ascertain. The general lack of knowledge is likely due to the pathology being severely understudied. We present the case...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322007932 |
| _version_ | 1817978408667185152 |
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| author | Timothy J. Batchelor, MD Nicholas S. Imperato, BS Kathryn L. Wheel, MD Alexander J. Rennie, BS Kevin R. Roth, DO |
| author_facet | Timothy J. Batchelor, MD Nicholas S. Imperato, BS Kathryn L. Wheel, MD Alexander J. Rennie, BS Kevin R. Roth, DO |
| author_sort | Timothy J. Batchelor, MD |
| collection | DOAJ |
| description | Atrial septal defects (ASD) caused by traumatic events, specifically blunt cardiac trauma, are considered an infrequent occurrence, yet their true prevalence has been difficult to ascertain. The general lack of knowledge is likely due to the pathology being severely understudied. We present the case of a 21-year-old male who was diagnosed with ASD following a motor vehicle accident. Initial assessment utilizing the point-of-care ultrasound (POCUS) technique - focused assessment with sonography for trauma (FAST) was found to be negative for free intraperitoneal or pericardial fluid. Subsequent computed tomography displayed multiple injuries but agreed with the FAST exam findings of no fluid within the abdomen or pericardium. Later in the patient's care a dedicated POCUS transthoracic echocardiogram was performed which identified right sided heart dilatation. The patient was managed in the intensive care unit (ICU) for an extensive period but recovered sufficiently to be discharged. The plan was to repair the ASD on a non-emergent basis. This case highlights the importance and diagnostic utility of bedside POCUS. Categories: Emergency Medicine |
| first_indexed | 2024-04-13T22:28:39Z |
| format | Article |
| id | doaj.art-89fdfd91fdc148c189bca702483736e4 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-13T22:28:39Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-89fdfd91fdc148c189bca702483736e42022-12-22T02:26:59ZengElsevierRadiology Case Reports1930-04332022-12-01171245464549Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasoundTimothy J. Batchelor, MD0Nicholas S. Imperato, BS1Kathryn L. Wheel, MD2Alexander J. Rennie, BS3Kevin R. Roth, DO4Lehigh Valley Health Network, Department of Emergency and Hospital Medicine / USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA, 18103, USALehigh Valley Health Network, Department of Emergency and Hospital Medicine / USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA, 18103, USALehigh Valley Health Network, Department of Surgery, Division of Trauma and Acute Care Surgery / USF Morsani College of Medicine, Schoenersville Road, Bethlehem, PA 18017, USALehigh Valley Health Network, Department of Emergency and Hospital Medicine / USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA, 18103, USA; Corresponding author.Lehigh Valley Health Network, Department of Emergency and Hospital Medicine / USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA, 18103, USAAtrial septal defects (ASD) caused by traumatic events, specifically blunt cardiac trauma, are considered an infrequent occurrence, yet their true prevalence has been difficult to ascertain. The general lack of knowledge is likely due to the pathology being severely understudied. We present the case of a 21-year-old male who was diagnosed with ASD following a motor vehicle accident. Initial assessment utilizing the point-of-care ultrasound (POCUS) technique - focused assessment with sonography for trauma (FAST) was found to be negative for free intraperitoneal or pericardial fluid. Subsequent computed tomography displayed multiple injuries but agreed with the FAST exam findings of no fluid within the abdomen or pericardium. Later in the patient's care a dedicated POCUS transthoracic echocardiogram was performed which identified right sided heart dilatation. The patient was managed in the intensive care unit (ICU) for an extensive period but recovered sufficiently to be discharged. The plan was to repair the ASD on a non-emergent basis. This case highlights the importance and diagnostic utility of bedside POCUS. Categories: Emergency Medicinehttp://www.sciencedirect.com/science/article/pii/S1930043322007932TraumaMVAAtrial septal defectsPOCUSEchocardiogramFAST |
| spellingShingle | Timothy J. Batchelor, MD Nicholas S. Imperato, BS Kathryn L. Wheel, MD Alexander J. Rennie, BS Kevin R. Roth, DO Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound Radiology Case Reports Trauma MVA Atrial septal defects POCUS Echocardiogram FAST |
| title | Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound |
| title_full | Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound |
| title_fullStr | Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound |
| title_full_unstemmed | Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound |
| title_short | Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound |
| title_sort | traumatic atrial septal defect diagnosed by bedside point of care ultrasound |
| topic | Trauma MVA Atrial septal defects POCUS Echocardiogram FAST |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322007932 |
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