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Published on: May 14, 2020
[Atrial septum aneurysm. Report of 20 cases]
K Bachraoui1, A Mokaddem, K Selmi
1Service de cardiologie Hôpital Mongi Slim-La Marsa-Tunisie.
Atrial septum aneurysm (ASA), a rare congenital heart defect, is increasingly diagnosed with transesophageal echocardiography. This condition is linked to embolic events, but patients show positive outcomes after treatment.
Area of Science:
- Cardiology
- Congenital Malformations
- Diagnostic Imaging
Context:
- Atrial septum aneurysm (ASA) is an uncommon congenital malformation.
- ASA is frequently implicated in the etiology of cerebral and systemic embolic events.
- Transesophageal echocardiography has improved ASA diagnosis.
Purpose:
- To determine the frequency, diagnostic features, and therapeutic approaches for ASA based on institutional experience.
Summary:
- This study reports 20 cases of ASA from an echocardiographic registry, revealing a prevalence of 0.08% with male predominance.
- The mean age of patients was 51 years, and 55% of cases were diagnosed after experiencing brain embolism.
- Transesophageal echocardiography was definitive for diagnosis in all cases, while transthoracic echocardiography succeeded in only 5.
Impact:
- The findings highlight the diagnostic utility of transesophageal echocardiography for ASA.
- Early diagnosis and management of ASA can lead to favorable patient outcomes.
- Understanding ASA's role in embolic events can inform preventative strategies.
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