eMedicine Specialties > Pediatrics: Cardiac Disease and Critical Care Medicine > Cardiology

Atrial Septal Defect, General Concepts: Multimedia

Author: Michael R Carr, MD, Pediatric Cardiologist, Naval Medical Center Portsmouth
Coauthor(s): Brent R King, MD, Associate Professor of Emergency Medicine and Pediatrics, University of Texas Health Science Center at Houston; Chair, Department of Emergency Medicine, Memorial Hermann Hospital, Lyndon B Johnson General Hospital
Contributor Information and Disclosures

Updated: Oct 30, 2008

Multimedia

Subcostal echocardiographic view of a child with ...Media file 1: Subcostal echocardiographic view of a child with a secundum atrial septal defect (ASD). Note the position of the defect in the atrial septum. RA = Right atrium; LA = Left atrium; SVC = Superior vena cava.
Subcostal echocardiographic view of a child with ...

Subcostal echocardiographic view of a child with a secundum atrial septal defect (ASD). Note the position of the defect in the atrial septum. RA = Right atrium; LA = Left atrium; SVC = Superior vena cava.

Subcostal long-axis view of the same child as in ...Media file 2: Subcostal long-axis view of the same child as in Media file 1 with a secundum atrial septal defect (ASD). RA = Right atrium; LA = Left atrium; RUPV = Right upper pulmonary vein.
Subcostal long-axis view of the same child as in ...

Subcostal long-axis view of the same child as in Media file 1 with a secundum atrial septal defect (ASD). RA = Right atrium; LA = Left atrium; RUPV = Right upper pulmonary vein.

Parasternal short axis view of a child with a sec...Media file 3: Parasternal short axis view of a child with a secundum atrial septal defect (ASD). RA = Right atrium; LA = Left atrium; AO = Aorta.
Parasternal short axis view of a child with a sec...

Parasternal short axis view of a child with a secundum atrial septal defect (ASD). RA = Right atrium; LA = Left atrium; AO = Aorta.

Apical echocardiographic view of a primum atrial ...Media file 4: Apical echocardiographic view of a primum atrial septal defect (ASD). Note the position of the defect when compared with a secundum ASD. RA = Right atrium; LA = Left atrium; RV = Right ventricle; LV = Left ventricle.
Apical echocardiographic view of a primum atrial ...

Apical echocardiographic view of a primum atrial septal defect (ASD). Note the position of the defect when compared with a secundum ASD. RA = Right atrium; LA = Left atrium; RV = Right ventricle; LV = Left ventricle.

Apical echocardiographic view of a primum atrial ...Media file 5: Apical echocardiographic view of a primum atrial septal defect (ASD). Note that the atrioventricular valves are at the same level (instead of mild apical displacement of the tricuspid valve), which is seen in the spectrum of atrioventricular canal defects. RA = Right atrium; LA = Left atrium; RV = Right ventricle; LV = Left ventricle.
Apical echocardiographic view of a primum atrial ...

Apical echocardiographic view of a primum atrial septal defect (ASD). Note that the atrioventricular valves are at the same level (instead of mild apical displacement of the tricuspid valve), which is seen in the spectrum of atrioventricular canal defects. RA = Right atrium; LA = Left atrium; RV = Right ventricle; LV = Left ventricle.

Apical color Doppler echocardiographic view of a ...Media file 6: Apical color Doppler echocardiographic view of a primum atrial septal defect (ASD). Note the flow across the defect from the left atrium to the right atrium (RA), and note the mitral regurgitation (MR) through a cleft in the anterior leaflet of the mitral valve. MV = Mitral valve; LV = Left ventricle.
Apical color Doppler echocardiographic view of a ...

Apical color Doppler echocardiographic view of a primum atrial septal defect (ASD). Note the flow across the defect from the left atrium to the right atrium (RA), and note the mitral regurgitation (MR) through a cleft in the anterior leaflet of the mitral valve. MV = Mitral valve; LV = Left ventricle.

Subcostal short-axis view of a child with a sinus...Media file 7: Subcostal short-axis view of a child with a sinus venosus atrial septal defect (ASD). Note the position of the defect compared with that of a secundum or primum ASD. Also note the anomalous position of the right upper pulmonary vein (RUPV). RA = Right atrium; LA = Left atrium.
Subcostal short-axis view of a child with a sinus...

Subcostal short-axis view of a child with a sinus venosus atrial septal defect (ASD). Note the position of the defect compared with that of a secundum or primum ASD. Also note the anomalous position of the right upper pulmonary vein (RUPV). RA = Right atrium; LA = Left atrium.

ECGs from a child with a secundum atrial septal d...Media file 8: ECGs from a child with a secundum atrial septal defect (ASD). Note the right-axis deviation and rSR' pattern in lead V1.
ECGs from a child with a secundum atrial septal d...

ECGs from a child with a secundum atrial septal defect (ASD). Note the right-axis deviation and rSR' pattern in lead V1.

ECG from a child with a primum atrial septal defe...Media file 9: ECG from a child with a primum atrial septal defect (ASD). Note the left-axis deviation with a counterclockwise vector of depolarization (small q waves in leads I and aVL) and right ventricular hypertrophy and/or volume overload (rSR' pattern and upright T wave in lead V1).
ECG from a child with a primum atrial septal defe...

ECG from a child with a primum atrial septal defect (ASD). Note the left-axis deviation with a counterclockwise vector of depolarization (small q waves in leads I and aVL) and right ventricular hypertrophy and/or volume overload (rSR' pattern and upright T wave in lead V1).

More on Atrial Septal Defect, General Concepts

Overview: Atrial Septal Defect, General Concepts
Differential Diagnoses & Workup: Atrial Septal Defect, General Concepts
Treatment & Medication: Atrial Septal Defect, General Concepts
Follow-up: Atrial Septal Defect, General Concepts
Multimedia: Atrial Septal Defect, General Concepts
References

References

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Further Reading

Keywords

atrial septal defect, ASD, congenital heart defect, ostium primum defect, ostium secundum defect, sinus venosus defect, coronary sinus septal defect, malalignment-type ASD, hypoplastic left heart syndrome, hypoplastic left heart syndrome, partial anomalous pulmonary venous connection, unroofed coronary sinus, congenital heart disease, atrial fibrillation, pulmonary hypertension, congestive heart failure, CHF, stroke, upper respiratory tract infection, pulmonary vascular obstructive disease, pulmonary artery hypertension, right ventricular hypertrophy, heart block, Down syndrome, hypertrophic cardiomyopathy

Contributor Information and Disclosures

Author

Michael R Carr, MD, Pediatric Cardiologist, Naval Medical Center Portsmouth
Michael R Carr, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American College of Cardiology, American Heart Association, and American Society of Echocardiography
Disclosure: Nothing to disclose.

Coauthor(s)

Brent R King, MD, Associate Professor of Emergency Medicine and Pediatrics, University of Texas Health Science Center at Houston; Chair, Department of Emergency Medicine, Memorial Hermann Hospital, Lyndon B Johnson General Hospital
Brent R King, MD is a member of the following medical societies: American Academy of Emergency Medicine, American Academy of Pediatrics, American College of Emergency Physicians, American College of Physician Executives, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Medical Editor

Paul M Seib, MD, Associate Professor of Pediatrics, University of Arkansas for Medical Sciences; Medical Director, Cardiac Catheterization Laboratory, Co-Medical Director, Cardiovascular Intensive Care Unit, Arkansas Children's Hospital
Paul M Seib, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, American Heart Association, Arkansas Medical Society, International Society for Heart and Lung Transplantation, and Society for Cardiac Angiography and Interventions
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from broker recommendation; Avanir Pharma Stock Investment from broker recommendation

Managing Editor

Alvin J Chin, MD, Professor of Pediatrics, Division of Cardiology, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine
Alvin J Chin, MD is a member of the following medical societies: American Association for the Advancement of Science and American Heart Association
Disclosure: Nothing to disclose.

CME Editor

Gilbert Herzberg, MD, Assistant Professor, Department of Pediatrics, Section of Pediatric Cardiology, New York Medical College
Gilbert Herzberg, MD is a member of the following medical societies: American Academy of Pediatrics
Disclosure: Nothing to disclose.

Chief Editor

Steven R Neish, MD, SM, Director of Pediatric Cardiology Fellowship Program, Associate Professor, Department of Pediatrics, Baylor College of Medicine
Steven R Neish, MD, SM is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, and American Heart Association
Disclosure: Nothing to disclose.

 
 
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