A member asked:

Can echocardiography miss asd? i had about 5 and after, 25 years a ct scan just picked up a papvr. i was wondering if, they could, have missed asd as well? as i know sometimes asd and papvr coincide. ..

3 doctors weighed in across 3 answers

Echo: A transthoracic echocardiogram may not detect some asd's. Using the esophageal technique detects some asd's missed by the transthoracic technique. The commonest technique in echcardiography is the trans thoracic technique.

Answered 3/28/2014

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Yes: They can be missed at times and are only seen on transesophageal echos sometimes.

Answered 3/28/2014

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Yes: It would be easy to miss an asd. Diagnosing it requires a high clinical index of suspicion. The echo tech must be alerted and special views obtained, usually with agitated saline contrast injected intravenously.

Answered 1/5/2019

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