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Chapter-47 Echocardiography for Interventions in Congenital Heart Diseases: Left-to-right Shunt Lesions

BOOK TITLE: Textbook of Echocardiography

Author
1. Sivakumar Kothandam
ISBN
9789352700929
DOI
10.5005/jp/books/14136_48
Edition
1/e
Publishing Year
2018
Pages
30
Author Affiliations
1. Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, Tamil Nadu, India, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India
Chapter keywords
Ventricular septal defect, VSD, echocardiography, coronary sinus defect, atrial septal defect, secundum defect, primum defect, sinus venosus defect, vestibular defect

Abstract

Ventricular septal defects in certain anatomical locations are amenable for transcatheter closure. The most common variety of VSD is the perimembranous defects, which account for 75–80% of the defects. If the perimembranous VSD is anatomically restrictive, it may be amenable for transcatheter closure. Inlet defects need surgical closure and cannot be managed in catheterization lab. Defects in atrial septum are classified as secundum defects, when the defect is in the region of fossa ovalis, primum defects, when they are extension of partial atrioventricular canal defects, sinus venosus defects located in the region of drainage of superior or inferior vena cava into the right atrium, often associated with partial pulmonary venous drainage of right sided pulmonary veins, vestibular defects located in the region of triangle of Koch, and coronary sinus defects which represent unroofing of the coronary sinus.

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