Combined atrial septal aneurysm and mitral valve prolapse: Detection by two-dimensional echocardiography

Iliceto, Sabino; Papa, Antonietta; Sorino, Margherita; Rizzon, Paolo

doi:10.1016/s0002-9149(84)80171-x

Cited by 63 publications

(25 citation statements)

References 3 publications

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“…Inability to obtain consent for a TEE makes it impossible for us to confidently exclude MVP. Other authors have observed that a developmental abnormality affecting the tissue of the interatrial septum and mitral valve can be supposed 13,14. Atrial septal aneurysm is frequently associated with other atrial septal defects (ASDs), in particular ASD-ostium secundum type, and patent foramen ovale (PFO) 15.…”

Section: Discussionmentioning

confidence: 99%

Atrial Septal Aneurysm Mimicking a Cor Triatriatum Sinister: A Case Report and Review of the Literature

Oyedeji¹,

Okunola

Sani³

2012

Clin Med Insights Case Rep

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An atrial septal aneurysm (ASA) is a rare but well-recognized abnormality of uncertain clinical relevance. It is a localized bulging of the inter-atrial septum into either or both atria during the cardiac cycle. ASA has been reported as an unexpected finding during autopsy but may also be diagnosed in living patients by echocardiographic techniques.We present a 37-year-old woman with a recurrent atypical chest pain of one-year duration. She was found to have a congenital atrial septal aneurysm on evaluation. The echocardiographic images mimicked a left sided cor triatriatum sinister. She had no other symptoms and had no co-morbidities. There was no audible murmur.ASA can mimic cor-triatriatum and echocardiographic examination should be performed from multiple views before any echocardiographic diagnosis is made.

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Section: Discussionmentioning

confidence: 99%

Atrial Septal Aneurysm Mimicking a Cor Triatriatum Sinister: A Case Report and Review of the Literature

Oyedeji¹,

Okunola

Sani³

2012

Clin Med Insights Case Rep

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“…Primary ASA is most commonly seen in adults, and its pathogenesis is un known. An association with mitral valve prolapse in sev eral patients could suggest that ASA is due to a congenital connective tissue defect, but pathological studies have not confirmed this hypothesis yet [26][27][28][29]. ASA could also result from an isolated abnormality of the valve of the fossa ovalis, explaining the high frequency of incompe tence of the interauricular septum.…”

Section: Discussionmentioning

confidence: 99%

Stroke Patterns with Atrial Septal Aneurysm

Nater¹,

Bogousslavsky²,

Régli³

et al. 1992

Cerebrovasc Dis

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We studied 12 patients (6 men and 6 women) with a mean age of 47 years with stroke (n = 11) or transient ischemic attack (n = 1) in relation with an atrial septal aneurysm. Ten patients showed also a patent foramen ovale. Infarcts involved the posterior cerebral artery (n = 3), superficial middle cerebral artery (n = 2), deep middle cerebral artery (n = 3), deep and superficial middle cerebral artery (n = 1), posterior inferior cerebellar artery (n = 1) and posterior inferior cerebellar and superficial middle cerebral artery (n = 1) territories. Embolism was likely in all patients, although coexisting small-artery disease could not be excluded in 2 patients. The exact mechanism remained unsettled, although paradoxical embolization of thrombi formed within the aneurysm through the interatrial wall should be considered. Our study emphasizes the importance of detecting potential cardiac sources of embolism by routine transthoracic and transesophageal echocardiography in stroke of unknown origin.

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“…Initially, in vivo diagnosis of ASA has been made by angiography (7)(8). However noninvasive diagnosis of ASA can easily be made in recent years with the advent of both two-dimentional and transesophageal echocardiography (2)(3)(4), even though the combined mitral valve prolapse alone or in combination with tricuspid valve prolapse and ASA have been commonly reported (4,5). The association between ASA and the isolated tricuspid prolapse is seldomly reported.…”

Section: Discussionmentioning

confidence: 99%

Large Atrial Septal Aneurysm and Delayed Improvement of Renal Failure Due to Nephrotoxic Drugs (And Hemodialysis) in a Diabetic Patient

2002

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Atrial septal aneurysm (ASA) is a well known morphologic abnormality and has been largely investigated with both transthoracic (TTE) and/or transesophageal echocardiography (TEE). Its association with other congenital and acquired heart diseases and midsystolic clicks has been reported. ASA also may be associated with an increased risk of embolic events. In many cases, it is an incidental finding. We describe a patient with acute renal failure associated with nephrotoxic drugs and ASA suggesting endocarditis.

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Combined atrial septal aneurysm and mitral valve prolapse: Detection by two-dimensional echocardiography

Cited by 63 publications

References 3 publications

Atrial Septal Aneurysm Mimicking a Cor Triatriatum Sinister: A Case Report and Review of the Literature

Atrial Septal Aneurysm Mimicking a Cor Triatriatum Sinister: A Case Report and Review of the Literature

Stroke Patterns with Atrial Septal Aneurysm

Large Atrial Septal Aneurysm and Delayed Improvement of Renal Failure Due to Nephrotoxic Drugs (And Hemodialysis) in a Diabetic Patient

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