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SM Journal of Cardiology and Cardiovascular Diseases

An Unusual Presentation of Secundum Atrial Septal Defect in Pregnancy

[ ISSN : 3068-0034 ]

Abstract
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Received: 20-Oct-2015

Accepted: 11-Jan-2016

Published: 12-Jan-2016

Case Report | Volume 2 - Issue 1 | Article DOI :

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Satish Jacob Chacko and Christopher Gans*

Section of Cardiology, Department of Medicine, University of Illinois at Chicago, Chicago, USA

Corresponding Author:

Christopher Gans, Department of Clinical Medicine, Section of Cardiology, University of Illinois, Hospital and Health Sciences System, 840 South Wood St, Room 926 Chicago, IL, 60612, USA; Tel: 312 996 6730

Keywords

Atrial septal defect; Pregnancy; NYHA; AVSD

Abstract

We describe a woman who presented in her third trimester of pregnancy with progressive dyspnea. Physical exam showed a hyperdynamic right ventricular impulse and a widely split fixed S2. Echocardiography showed moderately enlarged right sided chambers and linear insertion of the atrioventricular valves. This echocardiographic finding is typically consistent with a partial atrioventricular septal defect (AVSD). However further imaging with cardiac MRI revealed a large ostium secundum atrial septal defect (ASD), with a pulmonary to-systemic flow ratio of 2.4. This appears to be the first documented case in the literature of a secundum ASD presenting with linear insertion of the atrioventricular valves. In conclusion, we describe an unusual case of secundum atrial septal defect in pregnancy presenting with dyspnea and linear insertion of the atrioventricular valves.

Citation

Chacko SJ and Gans C. An Unusual Presentation of Secundum Atrial Septal Defect in Pregnancy. SM J Cardiolog and Cardiovasc Disord. 2016; 2(1): 1005.