Atrial septal aneurysm: Echopolycardiographic study

Longhini, C; Brunazzi, Maria Cristiana; Musacci, G. F.; Caneva, Marzia; Bandello, Attilio; Bolomini, L; Barbiero, Mario; Toselli, Tiziano; Barbaresi, F

doi:10.1016/0002-9149(85)91029-x

Cited by 38 publications

(25 citation statements)

References 19 publications

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“…In our referral fetal échocardiographie center, we have diagnosed ASA in 5 of 1,000 cases, giving an incidence of 0.25%. This is more closely in line with incidences reported by other centers [1][2][3][4], There is no explanation for this discrepancy in the rate of detection of fetal ASA.…”

Section: Discussionsupporting

confidence: 90%

“…In autopsy materi al it was reported as 1 % [ 1 ], which is probably an overesti-mation of the true incidence in the general population. In échocardiographie studies, the prevalence of ASA was found to be 0.57 and 1.7% in two large studies [2,4], A surprisingly high incidence of fetal ASA was found in a recent study of Rice et al [5], In their échocardiographie center they diagnosed fetal ASA in 42 of 105 cases (inci dence of 40%). Since there was no neonatal follow-up, no information is available regarding the persistence of the diagnosis postnatally.…”

Section: Discussionmentioning

confidence: 95%

“…In ASA, there is bulging of variable dimensions of a redundant fossa ovalis into the atrium. There are no universally accepted dimensional criteria to the diagnosis of ASA [1,2]. Commonly used criteria are a bulge of 0.5-1.5 cm, or a relative size which is greater than 25-50% of the atrial diameter [1,3].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Antenatal Diagnosis of Fetal Atrial Septal Aneurysm

Haddad

Degani²,

Rahav³

et al. 1996

Gynecol Obstet Invest

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Fetal atrial septal aneurysm (ASA) is uncommon and little is known regarding its prevalence and clinical significance. In this report we describe 2 cases of fetal ASA diagnosed by ultrasonography. They were referred for examination because of fetal tachyarrhythmia in 1 case, and polyhydramnios in the other. The first case had a normal outcome, while the other was associated with other congenital heart malformations. The literature as regards the diagnosis, prevalence, pathology, and clinical implications of ASA is discussed.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 95%

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The Antenatal Diagnosis of Fetal Atrial Septal Aneurysm

Haddad

Degani²,

Rahav³

et al. 1996

Gynecol Obstet Invest

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“…The aneurysm, when it occurs in isolation, is not in fact associated with abnormalities of either physical examination or ECG. 16 Also, in our experience, this lesion turned out to be an unexpected echocardiographic finding.…”

Section: Discussionmentioning

confidence: 59%

Cardioembolic stroke from atrial septal aneurysm.

Pasquale

Andreoli

Grazi

et al. 1988

Stroke

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Atrial septal aneurysm is an uncommon occult cardiac source of cerebral embolism. It is usually asymptomatic, and clinical cardiologic examination and electrocardiography fail to reveal its presence. We report a case of a 34-year-old woman with sudden right hemiplegia and aphasia from occlusion of the left carotid siphon in whom an atrial septal aneurysm was detected by two-dimensional echocardiography. The absence of atherosclerotic risk factors and vascular lesions proximal to the carotid occlusion strengthened a causal relation between atrial septal aneurysm and cerebral infarction. Consequently, two-dimensional echocardiography may be advisable in every patient with unexplained ischemic stroke to detect possible occult embolic cardiac abnormalities. (Stroke

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“…Several studies have classified ASA based on morphology and movement of the aneurysm. 3,4,7 Based on the most recent study on a classification by morphology and movement during the cardiorespiratory cycle, 4 this patient has a type 5 ASA that moves equal distance to both right and left atria ( Table 1).…”

Section: Discussionmentioning

confidence: 99%