Key result
The right parasternal echocardiographic view successfully detected atrial septal defects in 2 cases, including one where conventional views failed to identify the defect.
Why the study?
Does the right parasternal view improve the detection of atrial septal defects compared to conventional views?
Case Report (n=2)
Does the right parasternal view improve the detection of atrial septal defects compared to conventional views?
The right parasternal view is a valuable adjunctive echocardiographic window for detecting atrial septal defects when conventional views are non-diagnostic.
May aid ASD detection when conventional views fail; leaves open need for prospective validation before routine adoption.
The right parasternal view is conventionally used to assess the aortic valve and the ascending aorta. We describe two cases in which the right parasternal view was helpful in assessment of the interatrial septum and the detection of atrial septal defects (ASD), including one case in which this view confirmed the presence of a defect not seen in any other echocardiographic view. Use of the right parasternal view should be considered for assessment of the interatrial septum, particularly when there is a high index of suspicion for an atrial septal defect but no defect is seen on conventional views. It should also be used to exclude the possibility of multiple defects even when an ASD is visualized using conventional imaging planes.
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Luckie et al. (2009) conducted a case report in Atrial septal defects (n=2). Right parasternal echocardiographic view vs. Conventional echocardiographic views was evaluated on Detection of atrial septal defects. The right parasternal echocardiographic view successfully detected atrial septal defects in 2 cases, including one where conventional views failed to identify the defect.
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