Estimation of the Size of Atrial Septal Defect by Two-Dimensional Echocardiography (2de)

Nasser, Fred N.; Dimopoulos, J; Tajik, A. Jamil; Seward, James B.

doi:10.1111/j.1445-5994.1982.tb02513.x

Cited by 1 publication

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“…This is due to the defects' close relationship with either the superior or inferior vena cava, outside the confines of the true interatrial septum. [11][12][13] Several studies have demonstrated echocardiographic subcostal sagittal-oblique bicaval view with use of colour flow mapping improves the detection rates of sinus venosus defects, notwithstanding the challenges in older obese patients due to poor echocardiographic windows. 2,3,[14][15][16][17][18] Transoesophageal echocardiography is one of the imaging modalities of choice for this cardiac defect.…”

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confidence: 99%

Multimodality imaging in delineation of complex sinus venosus defects and treatment outcomes over the last decade

Nölke

James

et al. 2021

Cardiol Young

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Background: Diagnosis of sinus venosus defects, not infrequently associated with complex anomalous pulmonary venous drainage, may be delayed requiring multimodality imaging. Methods: Retrospective review of all patients from February 2008 to January 2019. Results: Thirty-seven children were diagnosed at a median age of 4.2 years (range 0.5−15.5 years). In 32 of 37 (86%) patients, diagnosis was achieved on transthoracic echocardiography, but five patients (14%) had complex variants (four had high insertion of anomalous vein into the superior caval vein and three had multiple anomalous veins draining to different sites, two of whom had drainage of one vein into the high superior caval vein). In these five patients, the final diagnosis was achieved by multimodality imaging and intra-operative findings. The median age at surgery was 5.2 years (range 1.6−15.8 years). Thirty-one patients underwent double patch repair, four patients a Warden repair, and two patients a single-patch repair. Of the four Warden repairs, two patients had a high insertion of right-sided anomalous pulmonary vein into the superior caval vein, one patient had bilateral superior caval veins, and one patient had right lower pulmonary vein insertion into the right atrium/superior caval vein junction. There was no post-operative mortality, reoperation, residual shunt or pulmonary venous obstruction. One patient developed superior caval vein obstruction and one patient developed atrial flutter. Conclusion: Complementary cardiac imaging modalities improve diagnosis of complex sinus venosus defects associated with a wide variation in the pattern of anomalous pulmonary venous connection. Nonetheless, surgical treatment is associated with excellent outcomes.

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