scholarly journals Atrial Septal Aneurysm and Atrial Septal Defect Association – an Uncommon But WellRecognized Association

2021 ◽  
Author(s):  
Antonio Carlos Menardi ◽  
Paulo José de Freitas Ribeiro ◽  
Paulo Roberto Barbosa Evora
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Atrial Septal Aneurysm

Significance of an Atrial Septal Aneurysm in the Presence of an Ostium Secundum Atrial Septal Defect

Cardiology ◽  
1995 ◽  
Vol 86 (5) ◽  
pp. 421-425
Author(s):  
Stella Brili ◽  
Brian McClements ◽  
Stamatis Castellanos ◽  
Maria Apostolidou ◽  
John Barbetseas ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Atrial Septal Aneurysm ◽  
Secundum Atrial Septal Defect

Atrial septal aneurysms in childhood: prevalence, classification, and concurrent abnormalities

2013 ◽  
Vol 24 (3) ◽  
pp. 453-458 ◽  
Author(s):  
Andreas Giannopoulos ◽  
Christoforos Gavras ◽  
Stavroula Sarioglou ◽  
Fotini Agathagelou ◽  
Irene Kassapoglou ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Patent Foramen Ovale ◽  
Septal Defect ◽  
Interatrial Septum ◽  
Paediatric Population ◽  
Point Of View ◽  
Atrial Septal Aneurysm ◽  
Foramen Ovale ◽  
Increased Risk

AbstractObjectives: This study sought to investigate the prevalence of atrial septal aneurysms in the paediatric population and to define coexisting abnormalities and their incidence. Background: Few papers refer to the prevalence of atrial septal aneurysms in childhood. Methods: We enrolled a total of 4522 children aged more than 12 months who underwent a transthoracic echocardiography. Atrial septal aneurysm was defined as a protrusion of the interatrial septum or part of it >15 mm beyond the plane of the atrial septum or phasic excursion of the interatrial septum during the cardiorespiratory cycle of at least 15 mm in total amplitude and a diameter of the base of the aneurysm of at least 15 mm. Results: Atrial septal aneurysms were found in 47 children (1.04%). They involved almost the entire septum in 14 patients (28.89%) and were limited to the fossa ovalis in 33 (71.11%). An atrial septal aneurysm was an isolated structural defect in 17 (35.56%). In 30 (64.44%) patients, it was associated with interatrial shunting – atrial septal defect and patent foramen ovale. At the echo follow-up after a year, no changes were recorded. Conclusions: Prevalence of atrial septal aneurysms is almost 1%. The most common abnormalities associated are interatrial shunts, that is, a patent foramen ovale and an atrial septal defect. From a medical point of view, it is suggested that no action is to be taken during childhood, as a child with an atrial septal aneurysm is not at increased risk compared with a child without one. Follow-up is scheduled on an individual basis.

Voluminous Atrial Septal Aneurysm May Mask a Large Double Atrial Septal Defect

2012 ◽  
Vol 93 (2) ◽  
pp. e41 ◽  
Author(s):  
Raffaele Scaffa ◽  
Cristina Spaziani ◽  
Mario Leporace ◽  
Stefania Leonetti ◽  
Mauro Di Roma ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Atrial Septal Aneurysm

A Case of Atrial Septal Aneurysm Associated with Atrial Septal Defect

1991 ◽  
Vol 21 (5) ◽  
pp. 919
Author(s):  
Jin Kook Choi ◽  
Dong Chan Lee ◽  
Heung Sun Kang ◽  
Kwon Sam Kim ◽  
Myung Shick Kim ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Atrial Septal Aneurysm

Right bundle branch block as a marker for interatrial septal abnormalities

2011 ◽  
Vol 22 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Aurora Bakalli ◽  
Dardan Koçinaj ◽  
Ljubica Georgievska-Ismail ◽  
Tefik Bekteshi ◽  
Ejup Pllana ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Right Bundle Branch Block ◽  
Patent Foramen Ovale ◽  
Septal Defect ◽  
Transoesophageal Echocardiography ◽  
Adult Patients ◽  
P Value ◽  
Atrial Septal Aneurysm ◽  
Foramen Ovale ◽  
Bundle Branch Block

AbstractBackgroundInteratrial septal anomalies, which include atrial septal defect, patent foramen ovale, and atrial septal aneurysm, are common disorders among adult patients. Early detection of interatrial septal anomalies is important in order to prevent haemodynamic consequences and/or thromboembolic events. Electrocardiogram offers some clues that should serve as hints for detection of interatrial abnormalities. The aim of our study was to analyse the interatrial septum by transoesophageal echocardiography in patients with electrocardiogram signs of right bundle branch block and in those without right bundle branch block.Methods and resultsIn a prospective study, 87 adult patients were included, that is, 41 with electrocardiogram signs of right bundle branch block forming the first group and 46 without right bundle branch block forming the second group. Interatrial septal anomalies were present in 80.5% of the patients with right bundle branch block, with patent foramen ovale (39.02%) being the most prevalent disorder, followed by atrial septal aneurysm (21.9%) and atrial septal defect (19.5%). Interatrial septal abnormalities were significantly more frequent in the first group compared with the second group (80.5% versus 6.5%, p value less than 0.001). Independently, patent foramen ovale was significantly more prevalent in patients with right bundle branch block (39.02% versus 4.3%, p value less than 0.001), as were atrial septal aneurysm (21.9% versus 2.2%, p value equal 0.01) and atrial septal defect (19.5% versus 0%, p value equal 0.004).ConclusionsRight bundle branch block should serve as a valuable indicator to motivate a detailed search for interatrial septal abnormalities.

scholarly journals P1373 Cardiac source of embolism diagnosed by transeophageal echocardiography - what to expect in nowadays clinical practice

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
T Branco Mano ◽  
S Aguiar Rosa ◽  
A T Timoteo ◽  
P Rio ◽  
L Moura Branco ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Valve Disease ◽  
Atrial Septal Aneurysm ◽  
Foramen Ovale ◽  
Spontaneous Echo Contrast ◽  
Aortic Plaque ◽  
Tertiary Centre ◽  
Cerebral Event ◽  
Aortic Plaques

Abstract Background Transeophageal echocardiography (TEE) is an essential tool to diagnose cardiac source of embolism (CSE) and to define treatment approach. Purpose: To review the identified CSE in 25 years experience in TEE at a tertiary centre. Methods: Retrospective study of consecutive patients (pts) who underwent TEE to search for CSE, from 1994 to 2019. Results: 2936 pts (55% males, mean age 53 ± 13 years). Ischemic cerebral event (96%) was the main location of embolism. TEE identified potential CSE in 41.5% and 7% had more than one diagnostic. The most frequent CSE were patnt foramen ovale (PFO) (16.3%) and atrial septal aneurysm (ASA), among these 65% had concomitant PFO or atrial septal defect (ASD) (14.1%). Aortic plaques ≥ 4mm were noted in 9.6%, followed by valve disease or prosthesis (5.4%), intracavitary thrombi (3.9%), vegetations (1.6%), ASD (1.5%), dilated cardiomyopathy (1.4%) and tumors (0.7%). In the last 15 years, the diagnostic effectiveness increased (35.6% vs 45.95%) and there was a shift in etiologies with an increased in the diagnose of PFO/ASD (26.8% vs 38.5%) and valve disease or prosthesis became less frequent (29.9% vs 3.7%). Overall, in elderly pts there was a preponderance of atherosclerotic plaques in the aorta, contrasting with younger pts who presented a predominance of PFO (Table1). The prevalence of spontaneous echo contrast increased with age. Pts with ischemic cerebral event were younger, mostly male and PFO was the main source of embolism (17%), while in pts with peripheral embolism the most frequent etiologies were intracavitary trombi (16%) and aortic plaques ≥ 4mm (14%). Conclusion: The main cause to perform a TEE to search for CSE was cerebral embolism, with a diagnostic effectiveness overall of 41.5%, that increased in the last 15years. Table 1 Characteristics <50 years (n = 1191) 50-75 years (n = 1569) ≥75 years (n = 171) Male (%) 601 (50%) 931 (59%) 80 (47%) Atrial septal defect (%) 23 (2%) 20 (1%) 0 Patent foramen ovale (%) 239 (20%) 226 (14%) 12 (7%) Atrial septal aneurysm (%) 70 (6%) 130 (8%) 13 (8%) Vegetations (%) 8 (0.7%) 29 (2%) 9 (5%) Tumors (%) 10 (0.8%) 8 (0.5%) 4 (2%) Intracavitary trombi (%) 28 (2%) 74 (5%) 14 (8%) Aortic plaque ≥4mm (%) 31 (3%) 203 (13%) 48 (28%) Valve disease or prothesis (%) 54 (4.5%) 109 (6%) 11 (6%) Spontaneous echo contrast (%) 36 (3%) 155 (10%) 32 (19%) Distribution of cardiac source embolism by age

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