Atrial septal defect ostium secundum echocardiography

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Overview

Anatomy

Classification

Ostium Secundum Atrial Septal Defect
Ostium Primum Atrial Septal Defect
Sinus Venosus Atrial Septal Defect
Coronary Sinus
Patent Foramen Ovale
Common or Single Atrium

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [[2]]; Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[4]]

For a full discussion on ostium secundum defects click here.
For a full discussion on the usage of echocardiography for atrial septal defect diagnosis click here.

Overview

Echocardiography may be used as a diagnostic tool in the evaluation of an atrial septal defect. Common malformations of the septal wall include: ostium primum, ostium secundum, sinus venosus, and patent foramen ovale. Uncommonly, a defect may occur in the coronary sinus. Specific characteristics exist in echocardiography to identify these classifications of atrial septal defects.

Echocardiography

An ostium secundum defect can be identified on an echocardiogram in many ways.

  • A subcostal 4 chamber view serves as the best plane to visualize the anatomy of the ostium secundum.
  • Can be visualized by examination of the middle of the septum in the area of the fossa ovalis where it occurs.
  • Notably, the most common type of ASD. Potentially, by default, the most recognizable.

Ostium Secundum Defect Imaging

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In this echocardiogram, a large secundum ASD is seen in the middle of the atrial septal wall.


References

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