Clinics in diagnostic imaging (186). Atrial septal defect with pulmonary arterial hypertension.
- Author:
Li Ching LAU
1
;
Hui Liang KOH
2
;
Wei Luen James YIP
3
;
Ching Ching ONG
2
Author Information
- Publication Type:Case Reports
- Keywords: atrial septal defect; cardiomegaly; chest x-ray; pulmonary hypertension; septal occluder device
- MeSH: Cardiomegaly; complications; diagnostic imaging; Critical Care; Female; Heart Septal Defects, Atrial; complications; diagnostic imaging; Hemodynamics; Humans; Hypertension, Pulmonary; complications; diagnostic imaging; Middle Aged; Patient Admission; Pulmonary Artery; diagnostic imaging; Radiography, Abdominal; Radiography, Thoracic; Sepsis; complications; diagnostic imaging; Tomography, X-Ray Computed; Young Adult
- From:Singapore medical journal 2018;59(5):279-283
- CountrySingapore
- Language:English
- Abstract: We report a case of a 61-year-old woman with a large atrial septal defect (ASD) that was detected incidentally on chest radiography and computed tomography when she presented with sepsis. Echocardiography confirmed a large secundum ASD with left-to-right shunt flow, right heart dilatation and severe pulmonary hypertension. The patient had a poor clinical outcome despite intensive care and eventually passed away. Haemodynamically significant ASDs have a known association with increased morbidity and mortality, and their early detection and closure cannot be understated. This article aimed to highlight the imaging features of ASD, with special emphasis on the routine chest radiograph. The pathophysiology and clinical manifestations of ASD are also briefly discussed.
