Ubytek przegrody międzyprzedsionkowej typu otworu wtórnego rozpoznany u nastolatka uprawiającego sport

Beata Kucińska¹, Izabela Janiec², *Bożena Werner¹

Summary
Secundum atrial septal defect (ASD II) is one of the most common congenital heart lesions in children. Patients usually are asymptomatic until adulthood, and even the defect with significant shunt may be unrecognized for a long time. Children frequently participate in full range of physical activities. This case report describes the late diagnosis of nonrestrictive ostium secundum atrial septal defect in 12 years athlete. The patient was asymptomatic and a cardiac anomaly was suspected after the right bundle branch block in electrocardiogram had been found. The boy underwent percutaneous closure of defect with Amplatzer septal occluder. The procedure was performed under general anesthesia with transesophageal echocardiography monitoring and fluoroscopy guidance. The follow up evaluation revealed the good result of treatment, without residual shunt and complete closure of ostium secundum atrial septal defect, normal size and function of the right ventricle. No arrhythmias were detected. No restrictions in sport training were recommended afterwords.

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