Surgical Repair of a Giant Atrial Septal Aneurysm with Patent Foramen Ovale
AbstractAtrial septal aneurysm (ASA) is a rare occurrence. Many studies have established a correlation between ASA and both ischemic stroke of unidentified cause and cardiac embolism. We describe the case of a 59-year-old woman who had a giant ASA with patent foramen ovale. The aneurysm was successfully removed. Although the detailed mechanism involved in the degeneration of the atrial septum is unclear, we recommend that such damage be surgically repaired to reduce the risk of cerebral embolism or heart failure in symptomatic patients. Surgery is recommended for larger ASA.
Agmon Y, Khandheria BK, Meissner I, et al. 1999. Frequency of atrial septal aneurysms in patients with cerebral ischemic events. Circulation 99:1942-4.nAoyagi S, Kosuga T, Fukunaga S, Ueda T. 2009. Images in cardiothoracic surgery. Atrial septal aneurysm associated with mitral valve disease. Ann Thorac Surg 88:1024.nHanley PC, Tajik AJ, Hynes JK, et al. 1985. Diagnosis and classification of atrial septal aneurysm by two-dimensional echocardiography: report of 80 consecutive cases. J Am Coll Cardiol 6:1370-82.nMas JL, Arquizan C, Lamy C, et al, for the Patent Foramen Ovale and Atrial Septal Aneurysm Study Group. 2001. Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm, or both. N Engl J Med 345:1740-6.nMesse SR, Silverman IE, Kizer JR, et al. 2004. Practice parameter: recurrent stroke with patent foramen ovale and atrial septal aneurysm: report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 62:1042-50.nOverell JR, Bone I, Lees KR. 2000. Interatrial septal abnormalities and stroke: a meta-analysis of case-control studies. Neurology 55:1172-9.nSchneider B, Hanrath P, Vogel P, Meinertz T. 1990. Improved morphologic characterization of atrial septal aneurysm by transesophageal echocardiography: relation to cerebrovascular events. J Am Coll Cardiol 16:1000-9.nShinohara T, Kimura T, Yoshizu H, Ohsuzu F. 2001. Three-year followup of an atrial septal aneurysm. Ann Thorac Surg 71:1672-3.n
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