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Atrial septal defect with right-to-left shunt in the absence of pulmonary hypertension

Published online by Cambridge University Press:  17 January 2017

Devi A. Manuel ,
Gopal C. Ghosh  and
Anoop G. Alex
Devi A. Manuel*
Affiliation:
Department of Cardiology, Christian Medical College and Hospital, Vellore, India
Gopal C. Ghosh
Affiliation:
Department of Cardiology, Christian Medical College and Hospital, Vellore, India
Anoop G. Alex
Affiliation:
Department of Cardiology, Christian Medical College and Hospital, Vellore, India
*
Correspondence to: Dr D. A. Manuel, Department of Cardiology, Christian Medical College and Hospital, IDA Scudder Road, Vellore 632004, Tamil Nadu, India. Tel: +91 99 423 82 478; Fax: +0416 223 2035; E-mail: [email protected]
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Abstract

We describe the case of a 27-year-old gentleman who developed late-onset clubbing and cyanosis. Transoesophageal echocardiography revealed a 27-mm ostium secundum atrial septal defect and a large, floppy Eustachian valve directing right atrial blood to the left side of the heart.

Keywords

Clubbingcyanosisprominent Eustachian valve
Type
Images in Congenital Cardiac Disease
Information
Cardiology in the Young , Volume 27 , Issue 3 , March 2017 , pp. 575 - 576
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Copyright
© Cambridge University Press 2017 

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References

1. Gallaher, ME, Sperling, DR, Gwinn, JL, Meyer, BW, Fyler, DC. Functional drainage of the inferior vena cava into the left atrium – three cases. Am J Cardiol 1963; 12: 561–566.CrossRefGoogle ScholarPubMed
2. Thomas, JD, Tabakin, BS, Ittleman, FP. Atrial septal defect with right to left shunt despite normal pulmonary artery pressure. J Am Coll Cardiol 1987; 9: 221–224.Google Scholar
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