Sinus Venosus Artial Septal DefectAl-Nas Hospital, Cairo, Egypt

Dr. Hani Mahmoud-Elsayed MD, FESC, FASE, Director of Echocardiography Lab

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Al-Nas Hospital, Cairo, Egypt

|2021-01-01

Case presentation

Patient History: A 35-year-old male presented with progressive course of shortness of breath. Trans-Thoracic echocardiography (TEE) was done and revealed RT side dilation with suspicion of intracardiac shunt.

Investigations: 4D ultrasound Trans-Thoracic echocardiography (TEE) was done using Real Time Volume Color Flow imaging and Esie valve technologies with Siemens Healthineers ACUSON SC2000.

Findings:

• Stretched patent foramen ovale (PFO) with left to right shunt

• Sizable sinus venosus, atrial septal defect (ASD) with left to right shunt

• Partial anomalous pulmonary venous drainage of right upper pulmonary vein into superior vena cava

• Normal size of aortic root with normal origin of coronaries

A unique feature of the SC2000 echocardiography system is high-resolution real-time color flow volume imaging with Artificial Intelligence operated cropping tools to help the clinician to visualize and assess structural abnormalities of the heart. The SC2000 4D imaging is characterized by high color flow volume rate without stitching. Thus, it is real time imaging.

This improves the ability of the operator to reach accurate diagnosis and assessment of the cardiac defect (Fig. 1A and Fig. 1B).

The Esie Valve application in the 4D TEE of the SC2000 can create static and dynamic mitral valve, aortic valve and ascending AO Models by the advanced artificial intelligence which enables the system to build up the model of the cardiac structure out of the recognized cardiac structure landmarks. The model is created online in few seconds with measurements of all the components of the modelled structures (Fig. 1C).

<p>Dr. Hani Mahmoud-Elsayed MD, FESC, FASE</p><p><span style="font-weight: normal;">Director of Echocardiography Lab</span></p>