Pseudoaneurysm of the membranous septum, case report and review of the literature

Loukas, Marios; Tubbs, R. Shane; Louis, Robert G.; Curry, Brian

doi:10.1007/s00276-006-0136-6

Cited by 13 publications

(5 citation statements)

References 35 publications

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“…Its exact prevalence remains unclear, as most of these patients remain undiagnosed. Aneurysm of the membranous septum was first observed by Laennec in 1826 and in 1938 it was defined by Thurman [4]. The aneurysm can be isolated or in combination with another cardiac malformation.…”

Section: Discussionmentioning

confidence: 99%

Management of Late-Presenting Congenital Combined Heart Defect – Bicuspid Aortic Valve and Ventricular Septal Aneurysm

2020

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Objective:Rare disease Background:Bicuspid aortic valve is the most common congenital heart malformation, encountered in 1-2% of the population, while interventricular septal defect and patent ductus arteriosus are the most common congenital malformations associated with bicuspid aortic valve. Although bicuspid valve can have no clinical manifestation, patients with bicuspid valve are prone to develop vascular abnormalities. Aortic dilatation is the most common of these abnormalities, which in turn can lead to serious complications and often requires surgical treatment. Coexistence of bicuspid aortic valve and interventricular septal aneurysm is very extremely rare. Case Report:We present a very rare case of a female patient with combined congenital cardiac pathology. The patient was asymptomatic until age 68 years, and presented with nonspecific persistent cough. The diagnostic work-up for the unexplained cough showed normal function of the bicuspid valve and an ascending aorta aneurysm accompanied with interventricular septal aneurysm. The patient was referred for surgery. The diagnostic workup and the decision for surgical treatment were thoroughly discussed to determine whether it was a true or a false aneurysm. Conclusions:The presented case is an example of late diagnosis of a congenital cardiac defect. The silent evolution and the scarce clinical presentation led to incidental discovery of the pathology, which was fully assessed only by computed tomography. Although echocardiography is essential for discovering heart defects, non-invasive imaging techniques are required for detailed morphological assessment and for planning optimal surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Management of Late-Presenting Congenital Combined Heart Defect – Bicuspid Aortic Valve and Ventricular Septal Aneurysm

2020

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“…Membraneous ventricular septum aneurysm (MVSA) is an uncommon cardiac abnormality primarily associated with the spontaneous closure of a small membraneous ventricular septal defect in childhood [2,3]. Surgical correction of a ventricular septal aneurysm may be required when haemodynamic abnormalities and other aneurysm-related complications are evident [4,5].…”

Section: Discussionmentioning

confidence: 99%

CMR detection of membraneous ventricular septal aneurysm causing ventricular tachycardia

Murphy¹,

Waterhouse²,

Maher³

et al. 2015

Diagnostic and Interventional Imaging

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“…It separates the aortic vestibule and left ventricular outflow tract from the inferior part of the right atrium and the superior part of the right ventricle. It is the thinnest part of the interventricular septum and the last part of the septum to close during development …”

Section: Pathologymentioning

confidence: 99%

“…It is the thinnest part of the interventricular septum and the last part of the septum to close during development. 27 A variety of pathologic factors have been proposed to explain the occurrence of aneurysms at this location. 20 The most common is spontaneous closure of a preexisting ventricular septal defect arising from the margins of the defect and usually incorporating the septal leaflet of the tricuspid valve.…”

Section: Pathologymentioning

confidence: 99%

Isolated Aneurysms of the Membranous Ventricular Septum Without Residual Shunts: Systematic Review and Description of 3 Cases in Adults

et al. 2017

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A ventricular septal defect is the most common congenital cardiac abnormality encountered in infants and children. Many of them survive through adulthood before diagnosis. Two-thirds of the cases involve the membranous part of the septum. In the absence of an interventricular shunt or concomitant cardiac surgery, guidelines for surgical intervention or resection of isolated aneurysms of the membranous septum are not well established. In this report, we discuss a multi-imaging modality approach for the diagnosis and assessment of membranous ventricular septal aneurysms and review the experts' consensuses for follow-up and treatment strategies.

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Pseudoaneurysm of the membranous septum, case report and review of the literature

Cited by 13 publications

References 35 publications

Management of Late-Presenting Congenital Combined Heart Defect – Bicuspid Aortic Valve and Ventricular Septal Aneurysm

Management of Late-Presenting Congenital Combined Heart Defect – Bicuspid Aortic Valve and Ventricular Septal Aneurysm

CMR detection of membraneous ventricular septal aneurysm causing ventricular tachycardia

Isolated Aneurysms of the Membranous Ventricular Septum Without Residual Shunts: Systematic Review and Description of 3 Cases in Adults

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