J Cardiovasc Ultrasound.  2017 Dec;25(4):138-139. 10.4250/jcu.2017.25.4.138.

Horseshoe-like Shaped Atrial Septal Defects Confirmed on Three-Dimensional Transesophageal Echocardiography

Affiliations
  • 1Department of Cardiology, Ajou University School of Medicine, Suwon, Korea. shinjh@ajou.ac.kr

Abstract

No abstract available.

Keyword

Atrial septal defect; Three-dimensional echocardiography; Transesophageal echocardiography

MeSH Terms

Echocardiography, Three-Dimensional
Echocardiography, Transesophageal*
Heart Septal Defects, Atrial*

Figure

  • Fig. 1 TTE revealed two ASDs. A: Two ASDs were detected on apical 4 chamber view of two-dimensional TTE. B: En face display of the interatrial septum from the right atrium, using three-dimensional TTE, revealed two ovoid ASDs and interatrial septum formed like horseshoe. Asterisks indicate large ASD, arrows indicate small ASD. TTE: transthoracic echocardiography, ASD: atrial septal defect.

  • Fig. 2 Three ASDs were identified on 3D TEE, consistent with an intraoperative image. A: Total three oval shaped ASDs were demonstrated on en face display of the interatrial septum from the left atrium, using 3D TEE. B: Intraoperative image finally confirmed total three oval shaped ASDs.Asterisks indicate large ASD, arrows indicate small ASDs. ASD: atrial septal defect, 3D TEE: three-dimensional transesophageal echocardiography.


Reference

1. Taniguchi M, Akagi T, Kijima Y, Sano S. Clinical advantage of real-time three-dimensional transesophageal echocardiography for transcatheter closure of multiple atrial septal defects. Int J Cardiovasc Imaging. 2013; 29:1273–1280.
2. Roberson DA, Cui W, Patel D, Tsang W, Sugeng L, Weinert L, Bharati S, Lang RM. Three-dimensional transesophageal echocardiography of atrial septal defect: a qualitative and quantitative anatomic study. J Am Soc Echocardiogr. 2011; 24:600–610.
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