A Sinus Venosus Atrial Septal Defect Is Diagnosed by Echocardiography with an Unusual Bubble Study

Mini‐ A 68‐year‐old man underwent echocardiogram with agitated saline for a presumed diagnosis of primary pulmonary hypertension. Surprisingly, the bubbles from the agitated saline enter the left heart before filling the right side, leading to a diagnosis of Eisenmeger's syndrome from a sinus v...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2013-07, Vol.30 (6), p.E182-E183
Main Authors: Dorosz, Jennifer L., Fonseca, Brian M., Kay, Joseph D., Graham, Brian B., Salcedo, Ernesto E., Quaife, Robert A.
Format: Article
Language:English
Subjects:
Aged
contrast echocardiography
Echocardiography - methods
Eisenmeger's syndrome
Eisenmenger Complex - diagnostic imaging
Heart Septal Defects, Atrial - diagnostic imaging
Humans
Male
Microbubbles
sinus venosus atrial septal defect
Sodium Chloride
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Summary:Mini‐ A 68‐year‐old man underwent echocardiogram with agitated saline for a presumed diagnosis of primary pulmonary hypertension. Surprisingly, the bubbles from the agitated saline enter the left heart before filling the right side, leading to a diagnosis of Eisenmeger's syndrome from a sinus venosus atrial septal defect. Because of high right‐sided pressure, the bubbles preferentially travel from the superior vena cava through the defect to the right superior pulmonary vein and left atrium, rather than the right side. This diagnosis was later confirmed on cardiac MRI.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.12191