An unusual presentation of atrial septal defect in a patient undergoing total hip arthroplasty.
Atrial septal defect is usually diagnosed and surgically repaired in childhood. We present a case of previously asymptomatic atrial septal defect that presented during total hip arthroplasty during general anesthesia in a 72-yr-old woman. Intraoperative transesophageal echocardiography assisted in the diagnosis and in determining the appropriate treatment.
Marak
B A
BA
Departments of Anesthesiology and Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
Wedel
D J
DJ
Ammash
N M
NM
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D007431:Intraoperative Complications