While atrial septal defect (ASD) classifies as the most common cause of grown-up congenital heart (GUCH) disease, it can present with unconventional symptoms, owing to underlying pathophysiological alterations.[1]Atypical chest pain in ASD be due arrhythmias, right ventricular dysfunction, or ischemia. However, we describe an interesting echocardiographic finding, showcasing a rare potential le...

Anderson FA Jr et al. Comparison of outcomes of patients with acute coronary syndromes with and without atrial fibrillation. Detection of coronary artery stenoses with thin-slice multi-detector row spiral computed tomography and multiplanar reconstruction. Evaluation) study group. The occurrence and prognostic significance of atrial fibrillation/-flutter following acute myocardial infarction. A...

UNLABELLED The case report of a 15-year-old patient with an unusual form of atrial septal defect is described. Echocardiography showed separation of the secundum and primum atrial septums due to abnormal posterior and leftward attachment of the primum septum into the roof of the left atrium. The morphology has been variably described as a 'double' atrial septum or 'spiral' atrial septal defect....

Atrial septal defect (ASD) is second common congenital heart disease that often leads to adult period. Intracardiac or transesophageal echocardiography (TEE) is essential for percutaneous closure of ASD using Amplatzer septal occluder. Dexmedetomidine (DEX), which is a highly selective α2-agonist, has sedative and analgesic properties without respiratory depression in the clinical dose range. W...

Although closure of an atrial septal defect (ASD II) with an occluding device in the first year of life is not a routine procedure, it is a feasible treatment, even in neonates. Case reports on the off-label use of Amplatzer devices have been repeatedly published, but there are no reports on using the Amplatzer Duct Occluder (ADO) to close an atrial septal defect in a neonate. We report on a su...

We operated on 56 adults diagnosed with atrial septal defect (ASD) between 1990 and 2004. Of these, eight had complications of atrial fibrillation (AF) in the preoperative period. After 1998, right atrial separation was performed in four cases. Marked improvement was noted in three out of the four cases. The right atrial separation procedure was a simple, easy, and effective method for the trea...

We report the case of a 61-year-old female who was admitted to our department with progressive dyspnea and palpitation. Transthoracic echocardiography and transesophageal echocardiography showed a small atrial septal defect (ASD, 8x7 mm). Paroxysmal atrial fibrillation (AF) was detected in Holter monitoring. As repair of ASD does not significantly reduce the risk of arrhythmias, cryoablation of...

Figure 1: The pointed end of delivery cable was quite far cephalad from delivery sheath just after the release of the atrial septal defect occluder. (A and B) The cephalad ends of delivery sheath and delivery cable respectively This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak,...

A young woman presented with severe heart failure symptoms 4 years after percutaneous device closure of an atrial septal defect (ASD). There was residual left-to-right shunting, and the device was obstructing the inferior caval vein and tricuspid valve flow. Intraoperatively, the ASD was shown to be an inferior sinus venosus defect, and reconstruction of the mitral valve and the posterior wall ...

Atrial septal defect (ASD) is often diagnosed and repaired during childhood. Nevertheless, it is the most common congenital cardiac defect seen in adults. ASD is characterized by a left-to-right intracardiac shunt and pulmonary hypertension. Pulmonary hypertension increases perioperative risks of morbidity and mortality. We report the anaesthetic management of a 68-year-old woman with an unrepa...