Mammoth interatrial septal aneurysm in the ICE age.
BACKGROUND
Intracardiac echocardiography (ICE) is a useful imaging modality that is now being used more widely to assist in the percutaneous closure of atrial septal defects (ASD) and patent foramen ovales (PFO).


METHODS
A 42 year old lady with a history of transient ischaemic attacks and migraine underwent percutaneous closure of an ASD. Intraprocedural ICE demonstrated a mammoth billowing multiperforated interatrial septal aneurysm in association with a secondum ASD.


CONCLUSIONS
ICE provides excellent adjuvant imaging during percutaneous closure of intracardiac shunts, in this case demonstrating a 'mammoth' interatrial septal aneurysm.
Bhindi
Ravinay
R
Cardiology Department, John Radcliffe Hospital, Headley Way, Headington, Oxfordshire, OX3 9DU, UK. ravinay.bhindi@cardiov.ox.ac.uk
Timperley
John
J
Ormerod
Oliver J
OJ
D000328:Adult; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler / Q000379:methods*; D005260:Female; D006322:Heart Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans