Non symptomatic atrial septal defect venosus type IVC – SV coexistent with non-obstructed foramen ovale in 78 years old patient – a case report

Weronika Sandra Topyła, Beata Krasuska, Wioletta Anna Bal, Tomasz Krzysztof Bąk, Agnieszka Zofia Staciwa


Atrial septal defect may be seen under few forms. The most common is ASD secundarum – about 70% of defects. Coexistent non-obstructed foramen ovale with atrial septal defect venosus type IVC – SV is very rare. Untreated atrial septal defect can be associated with numerous complications and with significantly shortened life expectancy. Patients with the increased left-to-right shunting may occasionally present congestive heart failure with pulmonary hypertension in their fourth to sixth decades of life. Late problems in untreated patients also include the risk of paradoxical embolus as well as atrial fibrillation, pulmonary hypertension and right heart failure. The presented medical case is an example of a very rare clinical disease in which a complex heart defect within the atrial septum is asymptomatic, does not give any complications and does not require treatment.


Atrial Septal Defect, Patent Foramen Ovale, ASD, PFO

Full Text:



Meissner I., Khandheria B.K., Heit J.A. i wsp. Patent foramen ovale: innocent or guilty? Evidence from a prospective population-based study. J. Am. Coll. Cardiol. 2006; 47: 440–445.

Hagen P., Schulz D., Edwards W. Incidence and size of patent foramen ovale during the first decades of life: an autopsy study of 965 normal hearts. Mayo Clin. Proc. 1984; 59: 17–20.

Wilmshurst P., Nightingale S., Pearson M. i wsp. Relation of atrial shunts to migraine in patients with ischemic stroke and peripheral emboli. Am. J. Cardiol. 2006; 98: 831–833.

Otto C. The practice of clinical echocardiography. W.B. Saunders Company, Philadelphia 2007

Braunwald E. red. Heart disease: a textbook of cardiovascular medicine. Wyd. 8. W.B. Saunders Company, Philadelphia 2007.

Warnes C.A., Williams R.G., Bashore T.B. i wsp. ACC/AHA 2008 Guidelines for Management of Adults With Congenital Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 2008; 118: 2395–2451.

Rigby ML.The era of transcatheter closure of atrial septal defects. Heart. 1999 Mar; 81(3):227-8.

Giamberti A, Chessa M, Foresti S, Abella R, Butera G, de Vincentiis C i wsp. Combined atrial septal defect surgical closure and irrigated radiofrequency ablation in adult patients. Ann Thorac Surg. 2006 Oct;82(4):1327-31.

Shub C, Dimopoulos IN, Seward JB, Callahan JA, Tancredi RG, Schattenberg TT I wsp.Sensitivity of two-dimensional echocardiography in the direct visualization of atrial septal defect utilizing the subcostal approach: experience with 154 patients. J Am Coll Cardiol. 1983 Jul; 2(1):127-35

Pascoe RD, Oh JK, Warnes CA, Danielson GK, Tajik AJ, Seward JB Diagnosis of sinus venosus atrial septal defect with transesophageal echocardiography. Circulation. 1996 Sep 1;94(5):1049-55.

Shah D., Azhar M., Oakley C. i wsp. Natural history of secundum atrial septal defect in adults after medical or surgical treatment. A historical prospective study. Br. Heart J. 1994; 71:224–228.

Konstantinides S., Geibel A., Olschewski M. i wsp. A comparison of surgical and medical therapy for atrial septal defects in adults. N. Engl. J. Med. 1995; 333: 469–473.

O’Gara P.T., Messe S.R., Murat Tuzcu E. i wsp. Percutaneous device closure of patent foramen ovale for secondary stroke prevention: a call for completion of randomized cinical trials. A science advisory from the American Heart Association/American Stroke Association and the American College of Cardiology Foundation the American Academy of Neurology affirms the value of this science advisory. Circulation 2009; 119: 2743–2747.



  • There are currently no refbacks.

Copyright (c) 2017 © The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

POL-index 2011 - 2014

BASE 2011 - 2014

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

Find a library that holds this journal:

Journal Language(s): English 

PBN Poland



Redaction, Publisher and Editorial Office

Instytut Kultury Fizycznej Uniwersytet Kazimierza Wielkiego w Bydgoszczy, Institute of Physical Education Kazimierz Wielki University in Bydgoszcz, Poland 85-091 Bydgoszcz ul. Sportowa 2 Copyright by Instytut Kultury Fizycznej UKW w Bydgoszczy  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at

SIC Science citation index (calculated on the basis of TCI and Page Rank) 0

Russian Impact factor 0.16

Indexed in Index Copernicus Journals Master List.,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

The InfoBase Index IBI Factor for the year 2015 is 3.56 in InfoBase


Universal Impact Factor 1.78 for year 2012. (

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ)

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski