Skip to main content
Top
Published in: Journal of Medical Ultrasonics 2/2014

01-04-2014 | Case Report

Utility of three-dimensional transthoracic echocardiography in diagnosis of intermediate atrioventricular septal defect: report of an adult case

Authors: Ayako Miyamoto, Satoshi Yuda, Yoshihito Higashidate, Satoru Takagi, Tetsuji Miura

Published in: Journal of Medical Ultrasonics | Issue 2/2014

Login to get access

Abstract

We present the case of a 54-year-old male with an intermediate atrioventricular septal defect (AVSD). He was referred to our institute for treatment of shortness of breath. Two-dimensional transthoracic echocardiography demonstrated an ostium primum defect of the atrial septum, a common atrioventricular valve with mild regurgitations, and an interventricular communication, which are the features of complete AVSD. However, three-dimensional transthoracic echocardiography (3D-TTE) could clearly visualize the tricuspid pouch (i.e., persistence of the tissue in the endocardial cushion), a feature of partial AVSD. 3D-TTE appears to be a useful modality for diagnosis of intermediate AVSD.
Literature
1.
go back to reference Wakai CS, Edwards JE. Pathologic study of persistent common atrioventricular canal. Am Heart J. 1958;56:779–94.PubMedCrossRef Wakai CS, Edwards JE. Pathologic study of persistent common atrioventricular canal. Am Heart J. 1958;56:779–94.PubMedCrossRef
2.
go back to reference Bharati S, Lev M, McAllister HA Jr, et al. Surgical anatomy of the atrioventricular valve in the intermediate type of common atrioventricular orifice. J Thorac Cardiovasc Surg. 1980;79:884–9.PubMed Bharati S, Lev M, McAllister HA Jr, et al. Surgical anatomy of the atrioventricular valve in the intermediate type of common atrioventricular orifice. J Thorac Cardiovasc Surg. 1980;79:884–9.PubMed
3.
go back to reference Tandon R, Moller JH, Edwards JE. Unusual longevity in persistent common atrioventricular canal. Circulation. 1974;50:619–26.PubMedCrossRef Tandon R, Moller JH, Edwards JE. Unusual longevity in persistent common atrioventricular canal. Circulation. 1974;50:619–26.PubMedCrossRef
4.
go back to reference Honda Y, Katayama T. An autopsy case of long survival with intermediate type of endocardial cushion defect: a case report. Angiology. 1987;38:622–6.PubMedCrossRef Honda Y, Katayama T. An autopsy case of long survival with intermediate type of endocardial cushion defect: a case report. Angiology. 1987;38:622–6.PubMedCrossRef
5.
go back to reference Matsumoto Y, Ueda S, Tsukazaki T, et al. An autopsy case of endocardial cushion defect (ECD) in an-82-year-old female. Nihon Ronen Igakkai Zasshi (Jpn J Geriat). 1992;29:416–22 (in Japanese).CrossRef Matsumoto Y, Ueda S, Tsukazaki T, et al. An autopsy case of endocardial cushion defect (ECD) in an-82-year-old female. Nihon Ronen Igakkai Zasshi (Jpn J Geriat). 1992;29:416–22 (in Japanese).CrossRef
6.
go back to reference Ataka K, Ota T, Yoshimura N, Sakata M, et al. A successful surgical correction of the intermediate type of common atrioventricular orifice: report of an adult case. Nihon Kyobu Geka Gakkai Zasshi (J Jpn Assn Thorac Surg). 1994;42:389–92 (in Japanese, abstract in English). Ataka K, Ota T, Yoshimura N, Sakata M, et al. A successful surgical correction of the intermediate type of common atrioventricular orifice: report of an adult case. Nihon Kyobu Geka Gakkai Zasshi (J Jpn Assn Thorac Surg). 1994;42:389–92 (in Japanese, abstract in English).
7.
go back to reference Tatebe S, Saji Y, Aoki K, Kuraoka S. Intermediate type of atrioventricular septal defect in the elderly. Ann Thorac Surg. 2006;81:1888–90.PubMedCrossRef Tatebe S, Saji Y, Aoki K, Kuraoka S. Intermediate type of atrioventricular septal defect in the elderly. Ann Thorac Surg. 2006;81:1888–90.PubMedCrossRef
8.
go back to reference Lange A, Mankad P, Walayat M, et al. Transthoracic three-dimensional echocardiography in the preoperative assessment of atrioventricular septal defect morphology. Am J Cardiol. 2000;85:630–5.PubMedCrossRef Lange A, Mankad P, Walayat M, et al. Transthoracic three-dimensional echocardiography in the preoperative assessment of atrioventricular septal defect morphology. Am J Cardiol. 2000;85:630–5.PubMedCrossRef
9.
go back to reference Hlavacek AM, Crawford FA Jr, Chessa KS, et al. Real-time three-dimensional echocardiography is useful in the evaluation of patients with atrioventricular septal defects. Echocardiography. 2006;23:225–31.PubMedCrossRef Hlavacek AM, Crawford FA Jr, Chessa KS, et al. Real-time three-dimensional echocardiography is useful in the evaluation of patients with atrioventricular septal defects. Echocardiography. 2006;23:225–31.PubMedCrossRef
10.
go back to reference Singh P, Mehta A, Nanda NC. Live/real time three-dimensional transthoracic echocardiographic findings in an adult with complete atrioventricular septal defect. Echocardiography. 2010;27:87–90.PubMedCrossRef Singh P, Mehta A, Nanda NC. Live/real time three-dimensional transthoracic echocardiographic findings in an adult with complete atrioventricular septal defect. Echocardiography. 2010;27:87–90.PubMedCrossRef
11.
go back to reference Toh N, Kanzaki H, Nakatani S, et al. Partial atrioventricular septal defect assessed by real-time three-dimensional echocardiography: a case report. J Cardiol. 2007;50:379–82.PubMed Toh N, Kanzaki H, Nakatani S, et al. Partial atrioventricular septal defect assessed by real-time three-dimensional echocardiography: a case report. J Cardiol. 2007;50:379–82.PubMed
12.
go back to reference Piatkowski R, Budaj-Fidecka A, Scislo P, et al. Transesophageal real time three-dimensional echocardiography in assessment of partial atrioventricular septal defect. Echocardiography. 2009;26:1092–4.PubMedCrossRef Piatkowski R, Budaj-Fidecka A, Scislo P, et al. Transesophageal real time three-dimensional echocardiography in assessment of partial atrioventricular septal defect. Echocardiography. 2009;26:1092–4.PubMedCrossRef
13.
go back to reference Cheng HL, Huang CH, Tsai HE, et al. Intraoperative assessment of partial atrioventricular septal defect with a cleft mitral valve by real-time three-dimensional transesophageal echocardiography. Anesth Analg. 2012;114:731–4.PubMedCrossRef Cheng HL, Huang CH, Tsai HE, et al. Intraoperative assessment of partial atrioventricular septal defect with a cleft mitral valve by real-time three-dimensional transesophageal echocardiography. Anesth Analg. 2012;114:731–4.PubMedCrossRef
15.
go back to reference Weyn AS, Bartle SH, Nolan TB, et al. Atrial septal defect-primum type. Circulation. 1965;31/32:III-13–III-23. Weyn AS, Bartle SH, Nolan TB, et al. Atrial septal defect-primum type. Circulation. 1965;31/32:III-13–III-23.
Metadata
Title
Utility of three-dimensional transthoracic echocardiography in diagnosis of intermediate atrioventricular septal defect: report of an adult case
Authors
Ayako Miyamoto
Satoshi Yuda
Yoshihito Higashidate
Satoru Takagi
Tetsuji Miura
Publication date
01-04-2014
Publisher
Springer Japan
Published in
Journal of Medical Ultrasonics / Issue 2/2014
Print ISSN: 1346-4523
Electronic ISSN: 1613-2254
DOI
https://doi.org/10.1007/s10396-013-0479-7

Other articles of this Issue 2/2014

Journal of Medical Ultrasonics 2/2014 Go to the issue