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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

ATRIAL SEPTAL DEFECT IN INFANCY

D KAVANAGH-GRAY

    Canadian Medical Association Journal
    |September 7, 1963
    PubMed

    Insights

    This study highlights the varied presentation of atrial septal defect in infants, noting potential dangers like sudden death and failure to thrive. Early detection and monitoring are crucial for managing this congenital heart condition.

    Area of Science:

    • Pediatric Cardiology
    • Congenital Heart Disease

    Background:

    • Atrial septal defect (ASD) is a common congenital heart anomaly.
    • Infantile presentation of ASD can be variable, posing diagnostic challenges.

    Purpose of the Study:

    • To describe the clinical features and potential complications of atrial septal defect in infancy.
    • To emphasize the importance of recognizing subtle signs and potential dangers of ASD in young infants.

    Main Methods:

    • Retrospective case series analysis of seven infants diagnosed with atrial septal defect.
    • Clinical evaluation including physical examination, electrocardiography, chest roentgenography, and cardiac catheterization.

    Main Results:

    • Four infants were asymptomatic, one failed to thrive, and two experienced sudden death.
    • Ejection murmurs were present in five infants; two with pulmonary hypertension had loud pan-systolic murmurs.
    • Cardiac catheterization confirmed a left-to-right atrial shunt in all seven infants; pulmonary hypertension was noted in two.

    Conclusions:

    • Atrial septal defect in infancy can present with diverse clinical manifestations, including asymptomatic cases and severe outcomes.
    • Diagnostic findings like murmurs and split second heart sound evolve over time.
    • Early recognition and comprehensive evaluation are vital for managing infants with atrial septal defect and associated complications like pulmonary hypertension.

    Keywords:
    DEATH, SUDDENELECTROCARDIOGRAPHYHEART AUSCULTATIONHEART CATHETERIZATIONHEART SEPTAL DEFECTS, ATRIALHYPERTENSION, PULMONARYINFANT

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