Giant multiperforated atrial septal aneurysm in a patient with paroxysmal atrial fibrillation.
With the widespread use of transoesophageal echocardiography, atrial septal aneurysm (ASA) is frequently and easily recognized. Diagnostic criteria, however, remain arbitrary. A meticulous search for interatrial shunting (most often patent foramen ovale (PFO)) and associated cardiac diseases is important. ASA is considered a risk factor for cardioembolism, especially in association with patent foramen ovale. We describe a patient with a giant multiperforated ASA presenting with refractory paroxysmal atrial fibrillation. Resection of the aneurysm was performed in combination with a surgical Maze procedure.
Department of Cardiology, St Antonius Hospital, Nieuwegein, The Netherlands. sergederidder@hotmail.com
S
S
De Ridder
M J M
MJ
Cramer
J M P G
JM
Ernst
W
W
Jaarsma
D001281:Atrial Fibrillation / Q000175:diagnosis*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis*; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis*; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D012008:Recurrence