sinus venosus atrial septal defect as a cause of palpitations and dyspnea in an adult: a diagnostic imaging challenge

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2015
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Abstract
Sinus venosus atrial septal defects (SV-ASD) have nonspecific clinical presentations and represent a diagnostic imaging challenge. Transthoracic echocardiography (TTE) remains the initial diagnostic imaging modality. However, detection rates have been as low as 12%. Transesophageal echocardiography (TEE) improves diagnostic accuracy though it may not detect commonly associated partial anomalous pulmonary venous return (PAPVR). Cardiac magnetic resonance (CMR) imaging provides a noninvasive, highly sensitive and specific imaging modality of SV-ASD. We describe a case of an adult male with exercise-induced, paroxysmal supraventricular tachycardia who presented with palpitations and dyspnea. Despite nondiagnostic imaging results on TTE, CMR proved to be instrumental in visualizing a hemodynamically significant SV-ASD with PAPVR that ultimately led to surgical correction.
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donovan2015casesinus Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Michael S. Donovan, David Kassop, Robert A. Liotta, Edward A. Hulten
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Journal Frontiers in pharmacology
Year 2015
DOI
10.1155/2015/128462
URL
http://dx.doi.org/10.1155/2015/128462
Keywords
Medicine

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