Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Atrial septal communications account for approximately 6%–10% of congenital heart defects, with an incidence of 1 in 1,500 live births. The atrial septal defect (ASD) is among the most common acyanotic congenital cardiac lesions, occurring in 0.1% of births and accounting for 30%–40% of clinically important intracardiac shunts in adults. The patent foramen ovale (PFO) is more common and is present in greater than 20%–25% of adults. The clinical syndromes associated with ASD and PFO are extremely variable and represent a significant health burden that spans pediatric and adult medicine, neurology, and surgery. The evaluation of abnormalities of the interatrial septum and their associated syndromes require a standardized, systematic approach to their echocardiographic and Doppler characterization, including the use of transthoracic echocardiographic (TTE), transesophageal echocardiographic (TEE), and intracardiac echocardiographic (ICE) ultrasound, three-dimensional (3D) imaging, Doppler, and transcranial Doppler (TCD) modalities.

Published Date

August 1, 2015

Source

JASE

Topic

  • Guidelines

Language

  • English

Technique

  • 3D Echocardiography (3DE)
  • Agitated Saline
  • Interventional Echocardiography (IE)
  • Transesophageal Echo (TEE)
  • Transthoracic Echo (TTE)

Disease

  • Adult Congenital Heart Disease (ACHD)
  • Atrial Septal Defect (ASD)

Anatomy

  • Left Atrium (LA)

Audience

  • Congenital
  • Fellows in Training
  • Industry Partners
  • Physicians
  • Sonographer Students
  • Sonographers

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