Ventricular Septal Aneurysms

Edelstein, Josef; Charms, Bernard L.

doi:10.1161/01.cir.32.6.981

Cited by 27 publications

(13 citation statements)

References 17 publications

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“…Selective angiocardiography is the best means to diagnose membranous ventricular septal aneurysms, and they are consistently seen as an outpouching immediately below the root of the aorta (Edelstein and Charms, 1965).…”

Section: Discussionmentioning

confidence: 99%

“…Most membranous aneurysms are congenital in origin, but cases due to trauma and infection have been described (Lev and Saphir, 1938). The most plausible theory for the development of an aneurysm in the membranous portion of the septum relates its formation to the natural spontaneous closure of a ventricular septal defect (Edelstein and Charms, 1965;Agustsson et al, 1963;Arcilla et al, 1963). Since this area is weak, the tissue responds to the pressure exerted by the left ventricle and bulges to the right.…”

Section: Anatomy and Pathogenesismentioning

confidence: 99%

“…Steinberg (1957), using angiocardiographic studies, reported the first living patient with this defect. Two recent reports brought the total number discovered by angiocardiography to 7 (Kasparian, Brest, and Novack, 1965;Edelstein and Charms, 1965). Using selective left ventricular angiocardiography we have found 10 patients at this centre during the past two years.…”

mentioning

confidence: 92%

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Aneurysm of the membranous ventricular septum.

Jain¹,

Rosenthal²

1967

Heart

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Section: Discussionmentioning

confidence: 99%

Section: Anatomy and Pathogenesismentioning

confidence: 99%

mentioning

confidence: 92%

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Aneurysm of the membranous ventricular septum.

Jain¹,

Rosenthal²

1967

Heart

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“…The majority of cases are thought to originate from a congenital aetiology. 3 5 It should be noted that for a VSA, it is uncommon to exist in the absence of a known prior VSD. Clinical manifestations of this entity are variable.…”

Section: Introductionmentioning

confidence: 99%

“…Clinical manifestations of this entity are variable. Some patients are asymptomatic with a normal physical examination; on the other hand, others can present with haemodynamic compromise 5. Conduction abnormalities, aneurysm rupture, bacterial endocarditis, right ventricular outflow tract obstruction, significant intracardiac shunting and thromboembolism are possible complications.…”

Section: Introductionmentioning

confidence: 99%

An incidentally detected giant membranous interventricular septal aneurysm secondary to previous surgery for subaortic valvular stenosis

et al. 2014

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Ventricular septal aneurysms are rare clinical entities and their certain prevalence and clinical significance are not well known. Most of them are thought to develop during or after the closure process of the accompanying ventricular septal defects. Although a majority of the patients are typically asymptomatic, the potential risks should also be kept in mind. We present a case of a membranous interventricular septal aneurysm that developed after surgery for subaortic valvular stenosis. The points that make our case worth reporting are development of the aneurysm after aortic surgery and lack of a concomitant ventricular septal defect. On the basis of the existence of an aortic valve surgery history and reports that do not mention any ventricular septal defect and ventricular septal aneurysm when she was operated, we suggest that the aneurysmatic formation in the membranous portion of the interventricular septum developed due to valve surgery in the postoperative wound healing period.

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Aneurysm of the membranous ventricular septum with ventricular septal defect, mitral and tricuspid insufficiency

Tanaka

Yagi

Egashira

et al. 1998

Jpn J Thorac Caridovasc Surg

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A seventy-year-old man was admitted at our hospital because of dyspnea. Echocardiogram and left ventriculogram showed an aneurysm formation of the membranous ventricular septum and small left-to-right shunt through ventricular septum defect and also severe mitral and tricuspid insufficiency. Operation was performed after medical therapy for congestive heart failure. During operation, mitral leaflets showed no organic lesions nor prolapse, but the annulus was dilated. The cause of mitral insufficiency, we thought, might be congenital, and the annulus dilatation was caused of mitral insufficiency, we thought, might be congenital, and the annulus dilatation was caused to produce tricuspid insufficiency secondary. The ventricular septal communication became small (diameter; 5 mm) and was associated with aneurysm formation of the remaining portion of the membranous septum. And the aneurysm, protruding to the septal leaflet of tricuspid valves, enhanced tricuspid insufficiency. It was reported by many authors that the aneurysm formation was related to spontaneous closure of ventricular septal defect. Patients with small ventricular septal defect, without any symptoms, must be followed intensively, or they might get cardiac complications, such as arrhythmia, right ventricular outflow obstruction, tricuspid insufficiency, and so on.

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Ventricular Septal Aneurysms

Cited by 27 publications

References 17 publications

Aneurysm of the membranous ventricular septum.

Aneurysm of the membranous ventricular septum.

An incidentally detected giant membranous interventricular septal aneurysm secondary to previous surgery for subaortic valvular stenosis

Aneurysm of the membranous ventricular septum with ventricular septal defect, mitral and tricuspid insufficiency

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