Voluminous Atrial Septal Aneurysm May Mask a Large Double Atrial Septal Defect

Scaffa, Raffaele; Spaziani, Cristina; Leporace, Mario; Leonetti, Stefania; Roma, Mauro Di; Gaspardone, Achille; Paulis, Ruggero De

doi:10.1016/j.athoracsur.2011.10.029

Cited by 6 publications

(2 citation statements)

References 1 publication

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“…ASA has also been associated with multiple septal fenestrations, and this should be evaluated for carefully using color Doppler imaging. [44][45][46] Eustachian Valve and Chiari Network. The eustachian valve is a remnant of the valve of the IVC that, during fetal life, directs IVC flow across the fossa ovalis.…”

Section: Atrial Septalmentioning

confidence: 99%

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Silvestry

Cohen

Armsby

et al. 2015

Journal of the American Society of Echocardiography

425

436

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Section: Atrial Septalmentioning

confidence: 99%

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Silvestry

Cohen

Armsby

et al. 2015

Journal of the American Society of Echocardiography

425

436

View full text Add to dashboard Cite

“…It is as excursion of the septal tissue (typically the fossa ovalis) of >10 mm from the plane of the atrial septum into the right atrium (RA) or the left atrium (LA) or a combined excursion right and left of 15 mm . Perforated aneurysms may be associated with patent foramen ovale (PFO) and presented clinically with cryptogenic stroke due to either thrombus formation within the aneurysm or to paradoxical embolization, or associated with left to right atrial septal defect (ASD) shunt, or associated with multiple septal fenestrations . Its closure depends on the clinical symptoms, the morphology, and the type of the aneurysm…”

Section: Introductionmentioning

confidence: 99%

Role of 3D transesophageal echocardiography in transcatheter closure of atrial septal aneurysms

Taha

Elshedoudy

2019

Echocardiography

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Background Three dimensional transesophageal echocardiography (3DTEE) is superior to two dimensional transesophageal echocardiography (2DTEE) as it provides all atrial septal information from a single view. Aim To evaluate 3DTEE role in analysis of atrial septal aneurysm (ASA) and in device closure guiding. Methods Three dimensional transesophageal echocardiography were recorded with Vivid*E9,GE system over 14 months. ASAs were classified into 4 types (A: with PFO, B: with one ASD, C: with 2 ASDs, and D: with multiple fenestrations). Each aneurysm was assessed according to its type, shape, dimensions, orientation, aneurysmal tissue, and the surrounding rims. All patients passed to transcatheter aneurysm closure. Results A total of 26 patients with ASAs were assessed (7 imperforated aneurysms excluded). The remaining 19 patients’ age was 12.84 ± 5.82years. Four patients had type A aneurysms, 6 had type B, 4 had type C, and 5 had type D. 3DTEE demonstrated oval aneurysms in 17 patients. The orientation was oblique in 8 patients, vertical in 7, and horizontal in 4. The ASAs dimensions were 23.5 ± 5.1, 23.2 ± 5.1, and 22.0 ± 4.0 mm for oblique, vertical, and horizontal axes. Percutaneous closure succeeded in 18 patients. Balloon sizing was used in 4 patients. Devices used were: In type A:PFO devices, in type B:ASO devices, in type C:two patients required two ASO devices in each patient and two patients required one cribriform device, and in type D:Cribriform devices used for three patients, PFO for one and ASO for one. LA, LUPV, and RUPV approaches were used. Aspirin was received for 6 months. Conclusion Three dimensional transesophageal echocardiography helps to select aneurysms suitable for transcatheter closure, select the suitable devices, and guide the transcatheter procedure.

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Imaging Techniques in Percutaneous Cardiac Structural Interventions: Atrial Septal Defect Closure and Left Atrial Appendage Occlusion

Fernández

Gonzalez

2016

Revista Española de Cardiología (English Edition)

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Voluminous Atrial Septal Aneurysm May Mask a Large Double Atrial Septal Defect

Cited by 6 publications

References 1 publication

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Role of 3D transesophageal echocardiography in transcatheter closure of atrial septal aneurysms

Imaging Techniques in Percutaneous Cardiac Structural Interventions: Atrial Septal Defect Closure and Left Atrial Appendage Occlusion

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