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Published on: November 10, 2010
Double trouble
María Martín1, Enrique Ríos, José Manuel García-Ruíz
1Cardiology Department, Hospital Universitario Central de Asturias, Calle Julián Clavería s/n, 3006, Oviedo, Spain. mmartinf7@hotmail.com
The International Journal of Cardiovascular Imaging
|December 2, 2010
Summary
This case study highlights a rare atrial septal malformation in an 18-year-old male presenting with chest pain. Echocardiography identified a mobile membrane, distinct from common defects like patent foramen ovale.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Cardiac Imaging
Background:
- Pleuritic chest pain in adolescents warrants thorough cardiological evaluation.
- Early repolarization on ECG can be an incidental finding or associated with cardiac anomalies.
- Interatrial septum abnormalities are diverse and require precise imaging for diagnosis.
Observation:
- An 18-year-old male presented with pleuritic chest pain and an early repolarization pattern on ECG.
- Transthoracic echocardiography revealed an unusual undulating structure on the left interatrial septum.
- Transesophageal echocardiography demonstrated a mobile membrane adjacent to the interatrial septum with intra-chamber flow.
Findings:
- The mobile membrane was differentiated from a patent foramen ovale or atrial septal defect using agitated saline contrast.
- This finding represents a rare atrial septal malformation, specifically a mobile membrane.
- Literature review on atrial septal malformations was conducted.
Implications:
- Accurate diagnosis of rare atrial septal malformations is crucial for appropriate management.
- Advanced echocardiography techniques are essential for characterizing subtle cardiac anatomical variations.
- Understanding these malformations aids in differentiating them from more common cardiac conditions.
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