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Case Reports
. 2021 Aug 6;36(4):557-560.
doi: 10.21470/1678-9741-2020-0464.

Atrial Septal Aneurysm and Atrial Septal Defect Association - an Uncommon But Well- Recognized Association

Antonio Carlos Menardi  1   2 , Paulo José de Freitas Ribeiro  2 , Paulo Roberto Barbosa Evora  1
Affiliations
Case Reports

Atrial Septal Aneurysm and Atrial Septal Defect Association - an Uncommon But Well- Recognized Association

Antonio Carlos Menardi et al. Braz J Cardiovasc Surg. .

Abstract

Atrial septal aneurysm (ASA) is an uncommon but wellrecognized cardiac abnormality. This educational text reviews the case of a 54-year-old female presenting an ASA related to a small ostium secundum atrial septal defect. The considerable signs and symptoms, interestingly, have not been justified by the clinical and hemodynamic investigations. So, we opted for a better imaging investigation with cardiac catheterization and transesophageal echocardiography. The surgical process was earlier indicated and performed with aid of cardiopulmonary bypass.

Keywords: Atrial; Cardiopulmonary Bypass; Heart Aneurysm; Heart Septal Defects; Hemodynamics.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
Transthoracic echocardiogram. A) The red arrow points to the atrial septal aneurysm; B) the arrow points to the atrial septal defect (ASD); and C) the echo Doppler shows the ASD flow. AN=aneurysm; LA=left atrium; LV=left ventricle; RA=right atrium; RV=right ventricle.
Fig. 2
Fig. 2
Transesophageal echocardiogram. A and B) The red arrow points to the atrial septal aneurysm. LA=left atrium.
Fig. 3
Fig. 3
Surgical images. A) Atrial septal aneurysm (ASA) pulled up through the atrial septal defect exposed by a right atriotomy; B) fossa ovalis after ASA excision; C) atrium septorhaphy; D) excised aneurysm.
See this image and copyright information in PMC

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