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Case Report

Small Atrial Septal Defect Associated with Heart Failure in an Infant with a Marginal Left Ventricle

1
Department of Pediatric Cardiology, VU University Medical Center, Amsterdam, The Netherlands
2
Department of Cardiothoracic Surgery, Leiden University Medical Center, The Netherlands
*
Author to whom correspondence should be addressed.
Clin. Pract. 2012, 2(3), e69; https://doi.org/10.4081/cp.2012.e69
Submission received: 11 March 2012 / Revised: 4 June 2012 / Accepted: 7 June 2012 / Published: 4 July 2012

Abstract

Atrial septal defect (ASD) is usually asymptomatic in infancy, unless pulmonary hypertension or severe co-morbidity is present. We report a case of a 4-week-old infant with moderate- sized ASD, small patent ductus arteriosus (PDA), and a borderline sized left ventricle that developed heart failure. Despite the relatively small diameter of the ASD, this defect influenced the mechanism of heart failure significantly. After surgical closure of both PDA and ASD, the signs of pulmonary hypertension resolved and the patient developed a normal sized left ventricle. This report illustrates that the presence of a small ASD in combination with a marginal left ventricle may result in inadequate left ventricular filling, pulmonary hypertension and heart failure.
Keywords: atrial septal defect; left ventricle size; pulmonary hypertension; infancy atrial septal defect; left ventricle size; pulmonary hypertension; infancy

Share and Cite

MDPI and ACS Style

Kingma, S.D.K.; Rammeloo, L.A.; Sojak, V.; Hruda, J. Small Atrial Septal Defect Associated with Heart Failure in an Infant with a Marginal Left Ventricle. Clin. Pract. 2012, 2, e69. https://doi.org/10.4081/cp.2012.e69

AMA Style

Kingma SDK, Rammeloo LA, Sojak V, Hruda J. Small Atrial Septal Defect Associated with Heart Failure in an Infant with a Marginal Left Ventricle. Clinics and Practice. 2012; 2(3):e69. https://doi.org/10.4081/cp.2012.e69

Chicago/Turabian Style

Kingma, Sandra D.K., Lukas A. Rammeloo, Vladimir Sojak, and Jaroslav Hruda. 2012. "Small Atrial Septal Defect Associated with Heart Failure in an Infant with a Marginal Left Ventricle" Clinics and Practice 2, no. 3: e69. https://doi.org/10.4081/cp.2012.e69

APA Style

Kingma, S. D. K., Rammeloo, L. A., Sojak, V., & Hruda, J. (2012). Small Atrial Septal Defect Associated with Heart Failure in an Infant with a Marginal Left Ventricle. Clinics and Practice, 2(3), e69. https://doi.org/10.4081/cp.2012.e69

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