Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012:2012:324326.
doi: 10.1155/2012/324326. Epub 2012 Sep 18.

Incidental discovery of a membranous ventricular septal aneurysm in two dissimilar patients

Abhishek Naidu  1 , Michelle Ricketts  2 , Aashish Goela  3 , Gerard Shoemaker  1 , Shuo Li  4
Affiliations

Incidental discovery of a membranous ventricular septal aneurysm in two dissimilar patients

Abhishek Naidu et al. Case Rep Cardiol. 2012.

Abstract

A ventricular septal aneurysm (VSA) is a rare cardiac anomaly, and an accurate statistic of its prevalence has not been reported in the literature. True incidence is likely underestimated as most patients are thought to be asymptomatic. As a result, most VSAs are discovered incidentally on echocardiography, during angiography, or at autopsy. Potential complications include rupture, bacterial endocarditis, right ventricular outflow tract obstruction, and thromboembolic disease. It has been proposed that VSAs occur in association with ventricular septal defects (VSDs) and other congenital cardiac abnormalities. It is uncommon for a VSA to exist in the absence of a known prior ventricular septal defect. We present two cases, each highlighting an incidental intact aneurysm involving the membranous interventricular septum. We discuss the contrast in the two patients with regard to their age, accompanying cardiac anomalies and cardiovascular fitness. Clinical implications of the condition are reviewed.

PubMed Disclaimer

Figures

Figure 1
Figure 1
CT imaging results of the female track and field athlete. (a) Four-chamber view depicting an aneurysm of the membranous ventricular septum. (b)-(c) Short axis views illustrating the aneurysm.
Figure 2
Figure 2
Three-dimensional volume-rendered image of the aorta in the elderly patient demonstrating mild aortic coarctation distal to the left subclavian artery.
Figure 3
Figure 3
CT imaging results of the elderly patient (a) four-chamber view evidencing a membranous ventricular septal aneurysm. (b)-(c) Short axis views depicting the aneurysm.
See this image and copyright information in PMC

References

    1. Choi M, Jung JI, et al. Ventricular septal aneurysms in adults: findings of Cardiac CT images and correlation with clinical features. Acta Radiologica. 2011;52:619–623. - PubMed
    1. Yavuz S, Eris C, Goncu T, Sezen M, Ata Y, Turk T. An incidental aneurysm of the interventricular membranous septum. Archives of Iranian Medicine. 2010;13(4):363–364. - PubMed
    1. Yilmaz AT, Özal E, Arslan M, Tatar H, Öztürk ÖY. Aneurysm of the membranous septum in adult patients with perimembranous ventricular septal defect. European Journal of Cardio-thoracic Surgery. 1997;11(2):307–311. - PubMed
    1. Jain AC, Rosenthal R. Aneurysm of the membranous ventricular septum. British Heart Journal. 1967;29(1):60–63. - PMC - PubMed
    1. Espinoza J, Kalache K, Gonçalves LF, et al. Prenatal diagnosis of membranous ventricular septal aneurysms and their association with absence of atrioventricular valve ‘offsetting’. Ultrasound in Obstetrics and Gynecology. 2004;24(7):787–792. - PubMed