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Third time lucky: challenging secundum atrial septal defect

Published online by Cambridge University Press:  05 August 2019

Maria Victoria Ordoñez ,
Sarah Moharem-Elgamal  and
Radwa Bedair
Maria Victoria Ordoñez
Affiliation:
Bristol Heart Institute, Adult Congenital Heart Disease Service, Bristol Royal Infirmary, Bristol, UK
Sarah Moharem-Elgamal
Affiliation:
Bristol Heart Institute, Adult Congenital Heart Disease Service, Bristol Royal Infirmary, Bristol, UK
Radwa Bedair*
Affiliation:
Bristol Heart Institute, Adult Congenital Heart Disease Service, Bristol Royal Infirmary, Bristol, UK
*
Author for correspondence: Dr Radwa Bedair, University Hospitals Bristol NHS Trust, Marlborough Street, Bristol BS2 8HW, UK. Tel: +44 117 342 5967; E-mail: Radwa.bedair@UHBristol.nhs.uk
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Abstract

Secundum atrial septal defect is the most common form of interatrial communication. Atrial septal defects can present in young adults with a variety of clinical presentations, including breathlessness on effort, palpitations, or stroke. Clinical heart failure and resting desaturation are both rarely seen in young patients. We present a case of a young man with a secundum atrial septal defect and a diagnosis of constrictive pericarditis, only made after two attempts at surgical correction of the atrial septal defect, with pericardiectomy at the third attempt and subsequent symptomatic improvement.

Keywords

Secundum atrial septal defectrestrictive physiologyconstrictive pericarditis
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 9 , September 2019 , pp. 1202 - 1205
Copyright
© Cambridge University Press 2019 

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References

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