[Aneurysm of the interauricular septum by hernia of Vieussens' valve, and suspected coronary embolism].
During the hemodynamic evaluation of a young patient with heart failure whose electrocardiogram showed sequels of anterior necrosis, an aneurysm of the fossa ovalis was seen at cineangiography. Selective coronary angiography showed an interruption of filling of the anterior interventricular artery just distal to the branching of the first septal artery: it raised therefore the possibility of the embolic origin of that myocardial infarction. In connection with this case study, angiographic aspect, pathogenesis and the embolic role of the aneurysm of the fossa ovalis were discussed.
D000328:Adult; D000790:Angiocardiography; D002932:Cineangiography; D003327:Coronary Disease / Q000209:etiology*; D004617:Embolism / Q000209:etiology*; D006322:Heart Aneurysm / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging; D006325:Heart Atria; D006330:Heart Defects, Congenital; D006331:Heart Diseases / Q000150:complications*; D006346:Heart Septum; D006547:Hernia / Q000150:complications / Q000151:congenital; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology
Anévrysme de la cloison inter-auriculaire par hernie de la valvule de Vieussens et suspicion d'embolie coronaire.