scholarly journals Mitral Regurgitation on Native Valve with Ostium Secundum Atrial Septal Defect (ASD) Realizingtiger Stripes Sign that Disappear after Mechanical Valve Replacement Case Report with Literature Review

2020 ◽  
Vol 5 (9) ◽  
pp. 1140-1143
Author(s):  
EL ABASSE ZEINE MD ◽  
BAH ALI RIDA MD ◽  
Taouakalna amira MD ◽  
HABBAL RACHIDA , MD ◽  
ETTAOUMI YOUSSEF MD
Keyword(s):  
Mitral Regurgitation ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Continuous Wave ◽  
Valvular Regurgitation ◽  
Severe Mitral Regurgitation ◽  
Class Iii ◽  
Secundum Atrial Septal Defect ◽  
Exertional Dyspnea ◽  
Native Valve

Background Tiger stripes sign is the high amplitude band-like signal noted on Doppler spectral recordings of valvular regurgitation. This is noted most often in patients with porcine mitral prosthetic valves and may be indicative of flail prosthetic leaflet. We herein describe a patient with tiger stripes signin a severe mitral regurgitation on native valve associated with Ostium secundum atrial septal Defect (ASD).  Case summary A 41-year-old woman hospitalized for progressively worsening exertional dyspnea NYHA (New York Heart Association) class III associated with chest pain evolving for the past 3 years. The patient’s medical history includes Grave’s disease. Clinical examination revealeda grade 5/6 blowing holosystolic murmur at the apex and a grade 4/6 blowing murmur at the tricuspid area.ECG showed trial Fibrillation. Echocardiography showed the presence of severe mitral regurgitation Figure 1: (A), severe tricuspid regurgitation and secundum atrial septal defect with 10 mm diameter. Doppler showed the appearance of tiger stripes sign in continuous-wave doppler (CW) and in pulsed-wave doppler (PW) on the mitral valve. Figure 1: (B,C).

scholarly journals Diameter and shunt act as an alleviator of pulmonary hypertension: an echocardiography assessment of patients with ostium secundum atrial septal defect

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
N E Z Espinola-Zavaleta ◽  
N E A V Antonio-Villa ◽  
E C G Guerra ◽  
E A R Alexanderson-Rosas ◽  
G B C Bracamontes-Castelo ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Atrial Septal Defect ◽  
Interaction Effect ◽  
Septal Defect ◽  
Continuous Wave ◽  
Systolic Pressure ◽  
Volume Overload ◽  
Secundum Atrial Septal Defect ◽  
Triple Interaction ◽  
Chronic Volume Overload

Abstract Background Ostium-secundum atrial septal defect (OS-ASD) increases pulmonary arterial systolic pressure (PSAP) and eventually leads to pulmonary hypertension (PH). Nevertheless, whether the characteristics of OS-ASD could serve as an alleviator within chronic-volume overload in the right atrium (RA) is unclear. Aims To evaluate a potential interaction of OS-ASD diameter and the shunt (Qp/Qs ratio) on PSAP values in patients with secondary PH. Methods We designed a cross-sectional study of 63 adult patients with OS-ASD. A conventional transthoracic echocardiography was performed using Vivid 9X-clear equipment (GE Vingmed Ultrasound, Horten, Norway) to evaluate the OS-ASD diameter and the Qp/Qs ratio. The PSAP was calculated by tricuspid regurgitation velocity with continuous-wave Doppler in the apical four-chamber view. Polynomic adjusted correlations were performed between the RA volume and the PSAP; we evaluated a double and triple interaction-effect of the OS-ASD diameter and Qp/Qs ratio, respectively adjusted for age, sex and body surface area. Results In our study population, 78% (n=49) were female, with a mean age of 41.8 (±15) years. 44% (n=28) with mild-PH, 38% (n=24) with moderate-PH and 17% (n=11) with severe-PH. Mean echocardiographic parameters were: RA volume 58.8 (±26.4) mL, PSAP of 55.9 (±20.7) mmHg, OS-ASD diameter 30.1 (±7.8) mm and Qp/Qs 2.9 (±0.9). We observed a cubic relationship between RA volume and PSAP (r=0.354, p=0.006; Figure 1A). ASD-Diameter had a negative interaction effect (β=−0.0231 95% CI: −0.043 to −0.003, p=0.03) of the relationship between RA volume and PSAP (Figure 1B). Furthermore, the addition of Qp/Qs ratio displayed a positive triple interaction effect (β=0.021 95% CI: 0.001–0.043, p=0.048) on the previously mentioned variables (Figure 1C) after adjusting for covariates. Conclusions The increase in OS-ASD diameter and shunt decreases PSAP values. Our results could indicate that OS-ASD could potentially ameliorate chronic-volume overload in patients with secondary PH. FUNDunding Acknowledgement Type of funding sources: None. Figure 1

scholarly journals Congenital Ostium Secundum Atrial Septal Defect with Mitral Valve Prolapse and Mitral Regurgitation – A Case Report and Review of Literature

2018 ◽  
Vol 12 (2) ◽  
pp. 91-94
Author(s):  
Md Aslam Hossain ◽  
Dharmendra Joshi ◽  
Mayank Acharya ◽  
Tareq Morshed ◽  
Omar Sadeque Khan ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Atrial Septal Defect ◽  
Mitral Valve Prolapse ◽  
Septal Defect ◽  
Dramatic Improvement ◽  
Review Of Literature ◽  
Secundum Atrial Septal Defect ◽  
Asd Closure ◽  
Symptoms And Signs

Mitral regurgitation (MR) associated with secundum Atrial Septal Defect (ASD) is not widely recognized but the association is not unusual. MR has been found in less than 10% of adults with large ASD which is mainly caused by mitral valve prolapse (MVP). We are reporting a case of congenital ostium secundum ASD with MVP associated with MR, review the clinical relevance of this association, and discuss the related literature. Our patient has shown dramatic improvement in symptoms and signs after ASD closure with mitral valve replacement along with improvement in tricuspid regurgitation. More general awareness of this association will further help the surgeon for better management of the patient with this rather unusual combination of lesions.University Heart Journal Vol. 12, No. 2, July 2016; 91-94

scholarly journals Secundum atrial septal defect repair: long-term surgical outcome and the problem of late mitral regurgitation.

1993 ◽  
Vol 69 (818) ◽  
pp. 912-915 ◽  
Author(s):  
M. E. Speechly-Dick ◽  
R. John ◽  
W. B. Pugsley ◽  
M. F. Sturridge ◽  
R. H. Swanton
Keyword(s):  
Mitral Regurgitation ◽  
Atrial Septal Defect ◽  
Surgical Outcome ◽  
Septal Defect ◽  
Secundum Atrial Septal Defect ◽  
Defect Repair

Surgical treatment for mitral regurgitation associated with secundum atrial septal defect

1998 ◽  
Vol 46 (12) ◽  
pp. 1324-1328
Author(s):  
Reiji Hattori ◽  
Kiyoharu Nakano ◽  
Fumio Yamamoto ◽  
Yoshikado Sasako ◽  
Jyunjiro Kobayashi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mitral Regurgitation ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Secundum Atrial Septal Defect
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