Objective: The non-invasive right ventricular pressure-strain loop (PSL) represents a novel method for the quantitative assessment of right ventricular myocardial function. Given that atrial septal defect (ASD) is a prevalent congenital heart anomaly associated with right ventricular volume overload, this study aims to quantitatively assess the myocardial function of the right ventricle in ASD patients pre- and post-occlusion by noninvasive right ventricular PSL. Methods: This study included thirty-six patients diagnosed with secundum atrial septal defect (ASD group) and thirty healthy adults (control group). We compared conventional right ventricular echocardiographic parameters, right ventricular strain, and myocardial work in the ASD group before occlusion, two days post-occlusion, and three months post-occlusion, with those in the control group. Results: Prior to and two days following occlusion, the ASD group exhibited higher right ventricular global work index (RVGWI), right ventricular global wasted work (RVGWW), and right ventricular global constructive work (RVGCW) compared to the control group ( P < 0.05). Within the ASD group, post-occlusion, RVGWI, RVGCW, and RVGWW values were significantly reduced compared to pre-occlusion values ( P < 0.001). Furthermore, RVGWI and RVGCW showed a significant decrease three months after occlusion compared to two days post-occlusion ( P < 0.05). Multivariate regression analysis identified ASD diameter and pulmonary artery systolic pressure (PASP) as independent predictors of RVGWI( β = 0.405, P < 0.001; β=2.307， P=0.037) and RVGCW（β=0.350, P＜0.001; β=1.967, P=0.023). Conclusions: The non-invasive right ventricular PSL effectively demonstrates the alterations in right ventricular myocardial function in ASD patients, pre- and post-occlusion. The metrics of right ventricular myocardial work (RVMW) offer a novel indicator for evaluating right ventricular myocardial function in these patients. Moreover, ASD diameter and PASP emerge as independent determinants of RVGWI and RVGCW.

Primary neoplasm of the atrium are usually thrombus or the cardiac myxomas. Cardiac hemangiomas are rare primary cardiac neoplasms. The natural evolution is uncertain due to various manifestation over time. Transthoracic echocardiography (TTE) can clearly display the location and size and clarify the impact of its relationship with myocardium, valves, and hemodynamics. We present the case of a female patient who with a complete medical history of right atrium cardiac hemangioma accidentally.