Interatrial shunt detected in coronary computed tomography angiography: differential features of a patent foramen ovale and an atrial septal defect.
OBJECTIVE
To determine differential findings of patent foramen ovales (PFOs) and atrial septal defects (ASDs) demonstrating interatrial shunting on coronary computed tomography (CT) angiography.


METHODS
We retrospectively analyzed 15 cases of patients demonstrating a contrast jet from the left to the right atrium on CT and interatrial shunting on echocardiography. According to the echocardiography results, patients were divided into PFO (n = 10) or ASD (n = 5) groups. The contrast jet direction and atrial septum appearance on CT were compared between the 2 groups.


RESULTS
The PFO group had a contrast jet flowing toward the inferior vena cava, and the atrial septum appeared channel-like. The ASD group had a contrast jet flowing perpendicular to the atrial septum in all but one of the patients, and the atrial septum appeared as a membrane with a hole.


CONCLUSIONS
Atrial septal defects and PFOs can be differentiated using the characteristic direction of the contrast jet from the left to right atrium and the appearance of the atrial septum on coronary CT angiography.
Kim
Young Jin
YJ
Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University Health System, Seoul, Korea.
Hur
Jin
J
Choe
Kyu Ok
KO
Choi
Byoung Wook
BW
Shim
Chi-Young
CY
Choi
Eui-Young
EY
Kwon
Hae Sik
HS
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D015150:Echocardiography, Doppler; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging*; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging*; D006346:Heart Septum / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed