meist superior
Abnormale Mündung der RUPV in RA
TTE häufig schwierig
Lancellotti P and Cosyns B (2016). Lancellotti, P; Cosyns, B The EACVI echo handbook. Oxford University Press. Oxford.
Coronarsinus-Defekt
unroofed Coronarsinus mit Verbindung zum LA
im A4C-Blick oder PLAX: fehlende Grenze zwischen CS und LA
Lancellotti P and Cosyns B (2016). Lancellotti, P; Cosyns, B The EACVI echo handbook. Oxford University Press. Oxford.
Ostium primum-Defekt
Meist klappennaher Defekt
Meist mit MV-Defekten (Cleft) assoziiert, deshalb häufig MR
Lancellotti P and Cosyns B (2016). Lancellotti, P; Cosyns, B The EACVI echo handbook. Oxford University Press. Oxford.
ASD II
Ostium secundum-Defekt
zentral gelegen
teilweise multiple (=fenestriertes Septum)
Anlotungen: subcostal, A4C, PSAX
RIM-Messungen in Richtung MV, AV, IVC, RUPV
TOE für transcatheter ASD-Verschluss in 90 Grad (bicaval)
cave: der Ostium secundum Defekt ist ein Defekt des Septum primums:
An ostium secundum ASD most often occurs as the result of a true deficiency of septum primum tissue; it is the most common form of a true ASD. The superior and posterior margins of the defect are composed of the septum secundum, the anterior margin is composed of the AV canal septum, and the inferior margin is composed of the septum primum and left venous valve of the inferior vena cava.18 These defects can vary in shape and can be elliptical or round (Figure 8). With large ostium secundum defects, the septum primum is often nearly or completely absent (2)
- Lancellotti P and Cosyns B (2016). Lancellotti, P; Cosyns, B The EACVI echo handbook. Oxford University Press. Oxford.
- Silvestry F, Cohen M, Armsby L, Burkule N, Fleishman C, Hijazi Z, Lang R, Rome J and Wang Y (2015) Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 8: 910–958.
Oberer Sinus venosus defekt
TEE: Bicavaler Blick: oberer Sinus Venosus Defekt mit einem nicht restriktiven L-R-Stunt in Höhe der Vena cava superior. RA dilatiert. © BUR
Kann häufig transthorakal nicht gesehen werden
Hyperdynamischer RV
RV-Dilatation,
RVOT-VTI erhöht (Volumenbelastung RV)
Farbdoppler
Kontrast: Auswascheffekt
Re PVe münden in Vena cava superior
