American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2016, 4(3), 111-114
DOI: 10.12691/ajmcr-4-3-10
Open AccessCase Report

Huge Interatrial Septum Aneurysm

Pramod Theetha Kariyanna1, , 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.

Pub. Date: April 18, 2016

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

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