Overview

Pulmonary atresia is usually diagnosed soon after birth. Tests are done to check the baby’s heart health.

Tests

Tests to diagnose pulmonary atresia may include:

  • Pulse oximetry. A sensor placed on the fingertip records the amount of oxygen in the blood. Too little oxygen may be a sign of a heart or lung problem.
  • Chest X-ray. A chest X-ray shows the size and shape of the heart and lungs.
  • Electrocardiogram (ECG or EKG). This quick and painless test records the electrical activity of the heart. It shows how the heart is beating. Sticky patches called electrodes are put on the chest and sometimes the arms and legs. Wires connect the patches to a computer, which prints or displays the results.
  • Echocardiogram. This test uses sound waves to create pictures of the beating heart. An echocardiogram is usually the main test to diagnose pulmonary atresia. It shows how blood moves through the heart and heart valves. If an echocardiogram is done on a baby before birth, it’s called a fetal echocardiogram.
  • Cardiac catheterization. A doctor threads a thin tube called a catheter through a blood vessel in the arm or groin to an artery in the heart. Dye is sent through the catheter. This makes the heart arteries show up more clearly on an X-ray. The test can provide detailed information on blood flow and how the heart works. Certain heart treatments can be done during cardiac catheterization.

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