Abstract

NIETO ZARATE, Jaime Andrés et al. Three dimensional echocardiographic multiperforated atrial septal defect: an unexpected finding in an asymptomatic patient. Rev.Urug.Cardiol. [online]. 2024, vol.39, n.1, e705.  Epub Dec 01, 2024. ISSN 0797-0048.  https://doi.org/10.29277/cardio.39.1.15.

Atrial septal defect (ASD) is a congenital defect in the atrial septum, in most cases it is asymptomatic until adulthood and is associated with a shunt from left to right. Five types of defects have been described, the most common being the ostium secundum in 80% of all atrial defects. It is located at the level of the oval fossa and is the result of the low development of the septum primum, resulting from the lack of sufficient tissue to completely separate the atria, which begins at the fifth week of gestation. The utility of 3D transesophageal echocardiography allows for precise evaluation and visualization of components such as the size and appearance of the ASD. We present a case of interest that showed a multiperforated ASD in an asymptomatic patient as an incidental finding during a pre-surgical evaluation with an image of high academic impact.

Keywords : ATRIAL SEPTAL DEFECT; MULTIPLE PERFORATIONS; SHORT CIRCUITS.

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