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Q. Kindly explain my wife's health problem with the help of echo report.

Answered by
Dr. Vivek Pillai
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 04, 2017

Hi doctor,

I am 23 years old, I am a married female and has one kid. My symptoms are shortness of breath (since a year), severe chest pain a month ago, numbness in the left arm since one month and fatigue with little exertion. There is no previous history of the same issue. Kindly explain the attached echo report.

Dr. Vivek Pillai



Welcome to

  • There is an atrial septal defect (attachment removed to protect patient identity), which needs closure as it is causing symptoms of breathlessness and fatigue.
  • According to the echocardiogram, there is also right heart enlargement.
  • As advised in the echo report, she should undergo a TEE (transesophageal echocardiogram) to decide whether this defect can be closed by a cardiologist or a cardiothoracic surgeon.

The Probable causes:


Investigations to be done:


Probable diagnosis:

ASD with left to right shunt, hemodynamically significant.

Treatment plan:

TEE followed by either percutaneous or surgical closure.

Regarding follow up:

Revert with the report to a cardiologist online.--->

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