This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Marak, B. A. Articles by Ammash, N. M. Search for Related Content PubMed PubMed Citation Articles by Marak, B. A. Articles by Ammash, N. M.

---

CARDIOVASCULAR ANESTHESIA

An Unusual Presentation of Atrial Septal Defect in a Patient Undergoing Total Hip Arthroplasty

Barbara A. Marak, MD^*, Denise J. Wedel, MD^*, and Naser M. Ammash, MD

Departments of *Anesthesiology and Internal Medicine, Mayo Clinic, Rochester, Minnesota

Address correspondence and reprint requests to Denise J. Wedel, MD, Department of Anesthesiology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905. Address e-mail to wedel.denise{at}mayo.edu

Implications: Atrial septal defect is usually diagnosed and surgically repaired in childhood. We present a case of previously asymptomatic atrial septal defect that presented during total hip arthroplasty during general anesthesia in a 72-yr-old woman. Intraoperative transesophageal echocardiography assisted in the diagnosis and in determining the appropriate treatment.