Title: Incidental Finding of Sinus Venosus Atrial Septal Defect

Authors: Dr A.Tharun Tej, Prof. Dr N.S.Raghupathy

 DOI: https://dx.doi.org/10.18535/jmscr/v8i3.66

Abstract

   

Introduction

Sinus Venosus ASD is a rare entity consistuting 1% of all congenital heart diseases1. 2 variants -superior vena caval and inferior vena caval. 90% are associated with partial anomalous pulmonary venous connection [PAPVC]. Excellent prognosis if diagnosed and operated before 15 Years.

Case Report

A 5 yrs old female who presented with complaints of low grade fever, productive cough -3 days. There is no h/o breathlessness, chest pain, No h/o contact with TB patients. No history suggestive of recurrent Lower respiratory tract infections and congestive cardiac failure.

References

  1. Alpendurada F, Wage R, Mohiaddin R. Evaluation of a sinus venosus atrial septal defect by magnetic resonance: a case report. Rev Port Cardiol. 2008 Oct. 27(10):1317-21.
  2. Warden HE, Gustafson RA, Tarnay TJ, Neal WA. An alternative method for repair of partial anomalous pulmonary venous connection to the superior vena cava. Ann Thorac Surg. 1984 Dec. 38(6):601-5.
  3. Chen CA, Wang JK, Hsu JY, Hsu HH, Chen SJ, Wu MH. Diagnosis of inferior sinus venosus atrial septal defects using transthoracic three-dimensional echocardiography. J Am Soc Echocardiogr. 2010 Apr. 23(4):457.e4-6.
  4. Murphy JG, Gersh BJ, McGoon MD, et al. Long-term outcome after surgical repair of isolated atrial septal defect. Follow-up at 27 to 32 years. N Engl J Med. 1990 Dec 13. 323(24):1645-50.
  5. Radzik D, Davignon A, van Doesburg N, et al. Predictive factors for spontaneous closure of atrial septal defects diagnosed in the first 3 months of life. J Am Coll Cardiol. 1993 Sep. 22(3):851-3.

Corresponding Author

Dr A.Tharun Tej

Junior Resident, Department of Pediatrics, Aarupadai Veedu Medical College and Hospital, Pondicherry