Interauricular communication in adult patient
Keywords:
atrial septum, delayed diagnosis, echocardiography transesophageal, heart defects congenital, heart septal defects atrialAbstract
Introduction: Congenital cardiovascular disorders are anomalies of the structure or function of the cardio-circulatory system present at the time of birth. Atrial septal defect is the defect that most frequently reaches adulthood without being diagnosed.
Objective: To present the clinical case of a patient with atrial septal defect, ostium secundum type, diagnosed in adulthood.
Clinical Case: Female patient, 56 years old, seen in consultation for dyspnea on exertion. The physical examination revealed a constant split second sound and a mid-systolic murmur in the pulmonary focus. Atrial septal defect was diagnosed through electrocardiogram and transthoracic and trans-esophageal echocardiography. The patient did not accept the interventional treatment; however, she maintains a good quality of life.
Conclusions: Atrial septal defect is the congenital heart disease that most frequently reaches adulthood without being diagnosed, is relatively well tolerated, can be asymptomatic and can be managed conservatively.
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Copyright (c) 2025 Flavia León Sardiñas, Liliete Caraballoso García, Alejandro Hernández Gutierrez, Yaquelín Sánchez Pérez, Angela María Castro Arca, Yiliam Bravo Blanco
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