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Lang FJ, Posselt A. Aneurrysmatische vorwolburg der fossa ovalis in den linken vorhof, Wiener Medizinische Wochenschrift. 1934; 84:392-396.

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Article

Huge Interatrial Septum Aneurysm

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.


American Journal of Medical Case Reports. 2016, Vol. 4 No. 3, 111-114
DOI: 10.12691/ajmcr-4-3-10
Copyright © 2016 Science and Education Publishing

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

Correspondence to: Pramod  Theetha Kariyanna, Department of Internal Medicine, State University of new York, Downstate Medical Center, U.S.A.. Email: drtkpram@gmail.com

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.

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