By Hakimeh Sadeghian, Zahra Savand-Roomi
This atlas of echocardiography offers greater than a hundred situations of grownup congenital center ailment, from analysis to therapy follow-up. The insurance is vast, encompassing atrial and ventricular septal defects, patent ductus arteriosus, cyanotic grownup congenital center affliction, and various different anomalies, in addition to findings on fetal echocardiography. for every disorder, all echocardiographic pictures and perspectives which proved of diagnostic price are prepared sequentially, with inclusion of transesophageal echocardiographic photos every time acceptable. extra pertinent details is equipped when it comes to prognosis and therapy, and key instructing issues are highlighted. the wonderful caliber of the illustrations and the variety of instances thought of (including many infrequent ones) make sure that this atlas might be of significant worth for cardiology citizens and fellows and hugely correct to day by day perform.
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Extra resources for Echocardiographic Atlas of Adult Congenital Heart Disease
Very large devices may produce necrosis of the interatrial septum . Atrial Septal Defect (Ostium Secundum Type) Closure by the Amplatzer Case 6 A middle-aged woman with a history of palpitation and dyspnea on exertion (functional class II) was referred to our echocardiography laboratory. A previous transthoracic echocardiographic examination had shown an ASD (ostium secundum type), and she was referred for transesophageal echocardiography (TEE) to evaluate suitability for the ASD device closure.
RAA right atrial appendage, AOV aortic Fig. 3 TEE (short-axis view) shows that the atrial depth is approximately 35 mm. This view is obtained in order to prevent injury to the left atrium during the ASD device closure. Also, the rim to the aortic valve is small. AOV aortic valve valve, LA left atrium, RA right atrium. Note that the ASD flow is blue in color on TEE (c) Case 5 Atrial Septal Defect (Ostium Secundum Type) During Device Closure a Fig. 4 This is the balloon sizing of the ASD on TEE (short-axis view).
RA right atrium Atrial Septal Defect (Ostium Secundum Type) Unsuitable for Device Closure A 45-year-old woman with a history of one episode of transient ischemic attack and several long-standing palpitations was referred to our center. Physical examination revealed the fixed splitting S2 and a pansystolic murmur Case 7 (grade III/VI) at the left sternal border. Echocardiography showed a normal left ventricular size and systolic function and a severely dilated right ventricle with a good systolic function.