Multiperforated atrial septal “aneurysm in aneurysm”: Percutaneous closure guided by real‐time three‐dimensional transesophageal echocardiography

Multiperforated atrial septal “aneurysm in aneurysm”: Percutaneous closure guided by... Atrial septal aneurysm (ASA) is a localized deformity of the interatrial septum, which protrudes into the right and/or left atrium. ASA with defects is a source of cardiac embolism. Although transcatheter closure is now a common procedure, it is still challenging in patients with complicated ASA. We describe a case of giant atypical multiperforated ASA with irregular mobility, which showed a rare “aneurysm in aneurysm” structure. Real‐time three‐dimensional transesophageal echocardiography showed vivid images, which clearly demonstrated these irregular shaped defects mimicking the atriotomy view, and played a crucial role in guiding the transcatheter closure. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Multiperforated atrial septal “aneurysm in aneurysm”: Percutaneous closure guided by real‐time three‐dimensional transesophageal echocardiography

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0091-2751
eISSN
1097-0096
D.O.I.
10.1002/jcu.22549
Publisher site
See Article on Publisher Site

Abstract

Atrial septal aneurysm (ASA) is a localized deformity of the interatrial septum, which protrudes into the right and/or left atrium. ASA with defects is a source of cardiac embolism. Although transcatheter closure is now a common procedure, it is still challenging in patients with complicated ASA. We describe a case of giant atypical multiperforated ASA with irregular mobility, which showed a rare “aneurysm in aneurysm” structure. Real‐time three‐dimensional transesophageal echocardiography showed vivid images, which clearly demonstrated these irregular shaped defects mimicking the atriotomy view, and played a crucial role in guiding the transcatheter closure.

Journal

Journal of Clinical UltrasoundWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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