Huge Interatrial Septum Aneurysm

Pramod Theetha Kariyanna^1, , Apoorva Jayarangaiah², Robert Adrah³ and Abhishek Sharma⁴

¹Department of Internal Medicine, State University of new York, Downstate Medical Center, U.S.A.

²Department of Internal Medicine, Marshfield Clinic- St Joseph Hospital, Marshfield, Wisconsin, U.S.A.

³Department of Internal Medicine, Brookdale University Hospital and Medical center, Brooklyn, New York, U.S.A.

⁴Division of Cardiology, Department of Internal Medicine, State University of New York, Downstate Medical center, Brooklyn, New York, U.S.A.

Cite this paper

Pramod Theetha Kariyanna, Apoorva Jayarangaiah, Robert Adrah and Abhishek Sharma. Huge Interatrial Septum Aneurysm. American Journal of Medical Case Reports. 2016; 4(3):111-114. doi: 10.12691/AJMCR-4-3-10

Abstract

Atrial septum aneurysm (ASA) is a saccular aneurysm of the interatrial septum, bulging into either atrium during the cardiac cycle. It is mostly congenital in natures and is often associated with patent foramen ovale (PFO). ASA is increasingly gaining attention as a possible cause of cryptogenic stroke. We here present a case of ASA in an elderly female in whom ASA possibly contributed to atrial fibrillation and mitral valvular prolapse; she denied any thromboembolic event. Transesophageal echocardiography remains the imaging modality of choice for diagnosis of ASA. Management guidelines for initiation of antiplatelet therapy, anticoagulation and the need for endovascular or surgical closure of associated PFO are lacking.

Keywords

atrial septum aneurysm, patent foramen ovale, stroke, transesophagel echocardiography

Copyright

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