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@article{Danylenko:2025:10.1016/j.jaccas.2025.105743,
author = {Danylenko, O and Babu-Narayan, S and Brida, M and Heng, EL and Li, W},
doi = {10.1016/j.jaccas.2025.105743},
journal = {JACC Case Rep},
title = {Biventricular Interatrial Shunt With Desaturation After Atrial Septal Defect Repair.},
url = {http://dx.doi.org/10.1016/j.jaccas.2025.105743},
volume = {30},
year = {2025}
}
TY - JOUR
AB - BACKGROUND: Patients after atrial septal defect (ASD) repair with residual shunt, elevated pulmonary arterial pressure or arrhythmias, and those repaired at adult age should be followed on a regular basis. CASE SUMMARY: This case describes a 43-year-old female with previous ASD repair, who presented with breathlessness, tiredness, and evidence of desaturation on exercise with a mildly positive bubble echo. While local investigations were inconclusive, diagnostic tests performed at our center revealed an inferior sinus venosus ASD-type defect with bidirectional flow, even though neither right-heart dilatation, pulmonary hypertension nor hemodynamically significant shunt was identified. The patient was offered surgical repair of the residual interatrial communication to give the patient symptomatic benefit. DISCUSSION: This case demonstrates a rare presentation of a post-ASD repair patient with bidirectional shunt without right-heart overload and no pulmonary hypertension. TAKE-HOME MESSAGE: Patients with repaired congenital defects should be followed up by specialized congenital services at reasonable interval based on the lesion and the results of the repair.
AU - Danylenko,O
AU - Babu-Narayan,S
AU - Brida,M
AU - Heng,EL
AU - Li,W
DO - 10.1016/j.jaccas.2025.105743
PY - 2025///
TI - Biventricular Interatrial Shunt With Desaturation After Atrial Septal Defect Repair.
T2 - JACC Case Rep
UR - http://dx.doi.org/10.1016/j.jaccas.2025.105743
UR - https://www.ncbi.nlm.nih.gov/pubmed/41109997
VL - 30
ER -