|
 
Last update: |
 |
|
|
31-May-2023
|
 |
|
|
Arch Hellen Med, 40(3), May-June 2023, 418-422 CASE REPORT A 62-year-old woman with interatrial defect type sinus venosus G.M. Aquino,1 S.B. Cobra,1 V.M. dos Santos,2 O.L.R. Almeida1 |
The atrial septal defects are among the most common congenital cardiac anomalies diagnosed among adult individuals and may affect approximately 25% of children, characterized by interatrial communication that often persists long standing undetected. The sinus venosus defect responds to between 5 and 10% of the diverse anatomical types. Spontaneous closure of small-diameter defects usually occurs before 5 years of age, but the sinus venosus and ostium primum types do not evolve with this kind of closure. Patients with enlarged right heart chambers may manifest clinical symptoms of the right or global cardiac dysfunction, arrhythmias, thromboembolic episodes, and pulmonary arterial hypertension (12% in the corrected and 34% in uncorrected defects). Routine evaluation by echocardiography increases the possibility of early diagnosis. The report of a 62-year-old female with a late diagnosis of a sinus venosus type defect aims to enhance the suspicion index of primary health workers about this condition.
Key words: Arrhythmia, Atrial septal defect, Echocardiography.
