Three-dimensional transesophageal echocardiography in the diagnosis of atrial septal aneurysm with patent foramen ovale in a patient with ventricular septal defect.
We present a case of a rare combination of ventricular septal defect and atrial septal aneurysm (ASA) with a patent foramen ovale (PFO) in a 57-year-old female. She was referred to our hospital for the treatment of irregular palpitation and exertional shortness of breath. Two-dimensional transesophageal echocardiography (2D-TEE) with color Doppler imaging demonstrated an ASA with two lines of shunt flows. Three-dimensional transesophageal echocardiography (3D-TEE) could clearly visualize the morphology of the PFO in the surgeon's view and demonstrated a crescent-shaped opening of the PFO. 3D-TEE appears to be a more accurate modality than 2D-TEE for the assessment of PFO.
Division of Clinical Laboratory, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan.
Yuka
Y
Takayanagi
Second Department of Internal Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan. yuda@sapmed.ac.jp.
Satoshi
S
Yuda
Division of Clinical Laboratory, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan.
Hideaki
H
Sugio
Division of Cardiology, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan.
Maki
M
Ichimura
Division of Cardiology, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan.
Hitomi
H
Masuda-Yamamoto
Division of Cardiology, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan.
Norie
N
Tanaka-Saito
Second Department of Internal Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan.
Tetsuji
T
Miura
Atrial septal aneurysm; Patent foramen ovale; Transesophageal echocardiography; Ventricular septal defect