Atrial septal defect echocardiography: Difference between revisions
(New page: {{CMG}} ==Echocardiography== In transthoracic echocardiography, an atrial septal defect may be seen on color flow imaging as a jet of blood from the left atrium to the [[righ...) |
No edit summary |
||
| Line 1: | Line 1: | ||
{{CMG}} | {{CMG}} | ||
[[Image:ASD.jpg|thumb|300 px|left|[[Echocardiography|Ultrasound picture]] of the heart, seen in a subcostal view. The apex towards the right, atria to the left. ASD secundum seen as a discontinuation of the white band of the atrial septum. Enlarged [[right atrium]] below. Enlarged pulmonary veins seen entering left atrium above. <small>(Image courtesy of Kjetil Lenes)</small>]] | |||
<br clear="left"/> | |||
See '''[[Echo in Atrial Septal Defect]]''' for more info/images | |||
==Echocardiography== | ==Echocardiography== | ||
| Line 6: | Line 9: | ||
If agitated saline is injected into a peripheral [[vein]] during [[echocardiography]], small air bubbles can be seen on echocardiographic imaging. It may be possible to see bubbles travel across an [[ASD]] either at rest or during a cough. (Bubbles will only flow from [[right atrium]] to [[left atrium]] if the RA pressure is greater than LA). | If agitated saline is injected into a peripheral [[vein]] during [[echocardiography]], small air bubbles can be seen on echocardiographic imaging. It may be possible to see bubbles travel across an [[ASD]] either at rest or during a cough. (Bubbles will only flow from [[right atrium]] to [[left atrium]] if the RA pressure is greater than LA). | ||
Because better visualization of the atria is achieved with transesophageal [[echocardiography]], this test may be performed in individuals with a suspected [[ASD]] which is not visualized on transthoracic imaging. | Because better visualization of the atria is achieved with transesophageal [[echocardiography]], this test may be performed in individuals with a suspected [[ASD]] which is not visualized on transthoracic imaging. | ||
| Line 17: | Line 16: | ||
If the individual has adequate echocardiographic windows, it is possible to use the echocardiogram to measure the [[cardiac output]] of the left ventricle and the [[right ventricle]] independently. In this way, it is possible to estimate the shunt fraction using [[echocardiography]]. | If the individual has adequate echocardiographic windows, it is possible to use the echocardiogram to measure the [[cardiac output]] of the left ventricle and the [[right ventricle]] independently. In this way, it is possible to estimate the shunt fraction using [[echocardiography]]. | ||
*Atrioventricular septal defects (AVSDs) Rastelli Type A | *[[Atrioventricular septal defect Rastelli Type A | Atrioventricular septal defects (AVSDs) Rastelli Type A]] | ||
*[[Atrioventricular septal defect Rastelli Type A2 | Atrioventricular septal defects (AVSDs) Rastelli Type A2]] | |||
*Atrioventricular septal defects (AVSDs) Rastelli Type A2 | *[[Atrioventricular septal defect Rastelli Type A3 | Atrioventricular septal defects (AVSDs) Rastelli Type A3]] | ||
*[[Atrioventricular septal defect Rastelli Type A4 | Atrioventricular septal defects (AVSDs) Rastelli Type A4]] | |||
*Atrioventricular septal defects (AVSDs) Rastelli Type A3 | *[[Atrioventricular septal defect Rastelli Type A5 | Atrioventricular septal defects (AVSDs) Rastelli Type A5]] | ||
*[[Atrioventricular septal defect Rastelli Type A6 | Atrioventricular septal defects (AVSDs) Rastelli Type A6]] | |||
*Atrioventricular septal defects (AVSDs) Rastelli Type A4 | *[[Atrioventricular septal defect Rastelli Type A7 | Atrioventricular septal defects (AVSDs) Rastelli Type A7]] | ||
*Atrioventricular septal defects (AVSDs) Rastelli Type A5 | |||
*Atrioventricular septal defects (AVSDs) Rastelli Type A6 | |||
*Atrioventricular septal defects (AVSDs) Rastelli Type A7 | |||
==References== | ==References== | ||
Revision as of 12:57, 24 June 2011
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
See Echo in Atrial Septal Defect for more info/images
Echocardiography
In transthoracic echocardiography, an atrial septal defect may be seen on color flow imaging as a jet of blood from the left atrium to the right atrium.
If agitated saline is injected into a peripheral vein during echocardiography, small air bubbles can be seen on echocardiographic imaging. It may be possible to see bubbles travel across an ASD either at rest or during a cough. (Bubbles will only flow from right atrium to left atrium if the RA pressure is greater than LA).
Because better visualization of the atria is achieved with transesophageal echocardiography, this test may be performed in individuals with a suspected ASD which is not visualized on transthoracic imaging.
Newer techniques to visualize these defects involve intracardiac imaging with special catheters that are typically placed in the venous system and advanced to the level of the heart. This type of imaging is becoming more common and involves only mild sedation for the patient typically.
If the individual has adequate echocardiographic windows, it is possible to use the echocardiogram to measure the cardiac output of the left ventricle and the right ventricle independently. In this way, it is possible to estimate the shunt fraction using echocardiography.
- Atrioventricular septal defects (AVSDs) Rastelli Type A
- Atrioventricular septal defects (AVSDs) Rastelli Type A2
- Atrioventricular septal defects (AVSDs) Rastelli Type A3
- Atrioventricular septal defects (AVSDs) Rastelli Type A4
- Atrioventricular septal defects (AVSDs) Rastelli Type A5
- Atrioventricular septal defects (AVSDs) Rastelli Type A6
- Atrioventricular septal defects (AVSDs) Rastelli Type A7