Hostname: page-component-848d4c4894-nr4z6 Total loading time: 0 Render date: 2024-06-09T12:53:53.989Z Has data issue: false hasContentIssue false
  • English
  • Français

Atrial flutter: yet another cause of arterial desaturation in atrial septal defect

Part of: Echocardiography Atrial Septal Defect (ASD) Electrophysiology

Published online by Cambridge University Press:  26 January 2021

Saurabh Kumar Gupta Open the ORCID record for Saurabh Kumar Gupta [Opens in a new window] ,
Sakshi Sachdeva Open the ORCID record for Sakshi Sachdeva [Opens in a new window]  and
Rajnish Juneja
Saurabh Kumar Gupta*
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi110029, India
Sakshi Sachdeva
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi110029, India
Rajnish Juneja
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi110029, India
*
Author for correspondence: Dr S. K. Gupta, Room no. 9, 8th floor, Department of Cardiology, Cardio-thoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi110029, India. Tel: +91-11-26594944; Fax: +91-11-26588663. E-mail: drsaurabhmd@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Pulmonary hypertension is not the only cause of arterial desaturation in patients with atrial septal defect. Arterial desaturation can also occur with normal pulmonary artery pressure making it mandatory to understand the mechanism to avoid erroneous diagnosis. In this report, for the first time, we demonstrate atrial flutter as the cause of arterial desaturation in a patient with large atrial septal defect despite normal pulmonary artery pressure, which was normalised following successful radiofrequency ablation.

Keywords

Atrial septal defectatrial flutterarterial desaturationpulmonary hypertension
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 6 , June 2021 , pp. 1027 - 1029
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Work attributed to: Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.

References

Lin, FC, Fu, M, Yeh, SJ, Wu, D. Doppler atrial shunt flow patterns with secundum atrial septal defect: Determinants, Limitation, and Pitfalls. J Am Soc Echo 1988; 1: 141–149.CrossRefGoogle Scholar
Rudolph, AM. Atrial septal defect and partial anomalous drainage of the pulmonary vein. In: Rudolph, AM (ed). Congenital Diseases of the Heart. Clinical-Physiological Considerations, 3rd edn. Wiley Blackwell, UK, 2009: 179–202.Google Scholar
Perloff, JK, Marelli, AJ. Atrial septal defects: Simple and complex. In: Perloff’s Clinical Recognition of Congenital Heart Disease, 6th edn. Elsevier/Saunders, Philadelphia, PA, 2012: 212–272.CrossRefGoogle Scholar
Gupta, SK, Juneja, R, Anderson, RH, Gulati, GS, Devagorou, V. Clarifying the anatomy and physiology of totally anomalous systemic venous connection. Ann Pediatr Cardiol 2017; 10: 269–277.CrossRefGoogle ScholarPubMed
Dong, L, Pan, C, Shu, X. Cyanosis in a primum atrial septal defect without pulmonary hypertension. J Am Coll Cardiol 2011; 57: 2290.CrossRefGoogle Scholar
Shnaider, H, Shiran, A, Lorber, A. Right ventricular diastolic dysfunction and patent foramen ovale causing profound cyanosis. Heart 2004; 90: e31.CrossRefGoogle ScholarPubMed
Somerville, W. Atrial septal defect: reversed shunt with normal pulmonary vascular resistance. Br J Med 1958; 20: 265–266.Google Scholar
Murayama, H, Tamaki, S, Kato, N, et al. Right atrial myxoma associated with atrial septal defect: A case report and review of the literature. Ann Thorac Cardiovasc Surg 2001; 7: 166–169.Google ScholarPubMed
Faller, M, Kessler, R, Chaouat, A, Ehrhart, M, Petit, H, Weitzenblum, E. Platypnea-Orthodeoxia syndrome related to an aortic aneurysm combined with an aneurysm of the atrial septum. Chest 2000; 118: 553–557.CrossRefGoogle Scholar
Diabal, PW, Stutts, BS, Jenkins, DW, Harkleroad, LE, Sandford, WT. Cyanosis following right pneumonectomy. Chest 1982; 81: 370–372.Google Scholar

Gupta et al. supplementary material

Gupta et al. supplementary material 1

Download Gupta et al. supplementary material(Video)
Video 253.1 KB

Gupta et al. supplementary material

Gupta et al. supplementary material 2

Download Gupta et al. supplementary material(Video)
Video 646 KB

Gupta et al. supplementary material

Gupta et al. supplementary material 3

Download Gupta et al. supplementary material(Video)
Video 267.8 KB

Gupta et al. supplementary material

Gupta et al. supplementary material 4

Download Gupta et al. supplementary material(Video)
Video 627.9 KB