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European Heart Journal 1992 13(4):453-456;
Copyright © 1992 by the European Society of Cardiology.
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© 1992 The European Society of Cardiology

Detection of sinus venosus atrial septal defect by two-dimensional echocardiography

E. G. MÜHLER, W. ENGELHARDT and G. VON BERNUTH

Klinik für Kinderkardiologie der RWTH Aachen Germany

Received 1 October 1990; revised 21 March 1991; .

Correspondence: Eberhard G. Mühler, MD, Klinik für Kinderkardiologie, RWTH Aachen, Pauwelsstr, 5100 Aachen, Germany

Abstract

In a 4-year period, 10 patients (mean age, 3.6 years) with a superior type sinus venosus airial septal defect were in vestigated by two-dimensional echocardiography. The defects were easily visualized in all patients using a long axis vena cava superior-inferior plane with a subcostal approach, while the atrial septum seemed to be intact in the coronal plane conventionally used for atrial septat defects of the primum or secundum type. Additional colour flow mapping, performed in two patients, demonstrated shunting across the depicted defect.

In our experience, the modified plane is of great diagnostic value in cases with a sinus venosus defect.

Key Words: Atrial septal defect • sinus venosus • diagnosis • echocardiography • infant


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