Interventricular membranous septal aneurysm: CT and MR manifestations
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Updated: Mar 28, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Carolina Carcano1,2, Jeffrey P Kanne3, Jacobo Kirsch4
1Department of Radiology, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, Fl, 33331, USA. carolina@carcano.me.
Insights
Advanced cardiac imaging effectively detects interventricular membranous septum defects, which can cause blood clots and arrhythmias. This review highlights six cases using CT angiography and cardiac MRI for evaluation.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Interventricular membranous septum defects are clinically significant.
- These defects can lead to thrombogenic and arrythmogenic predisposition.
- They may also obstruct pulmonary blood flow.
Purpose of the Study:
- To review clinical presentations of interventricular membranous septum defects.
- To emphasize the role of advanced cardiac imaging in diagnosis.
- To highlight CT angiography and cardiac MRI findings.
Main Methods:
- Review of six clinical cases.
- Utilized advanced cardiac imaging techniques.
- Focused on CT angiography and cardiac MRI sequences.
Main Results:
- Advanced cardiac imaging successfully identified interventricular membranous septum defects.
- Demonstrated association with subpulmonic stenosis due to aneurysm protrusion.
- Showcased imaging's utility in evaluating complex cardiac malformations.
Conclusions:
- Advanced cardiac imaging is crucial for diagnosing interventricular membranous septum defects.
- Imaging aids in understanding the relationship between defects and pulmonary stenosis.
- CT angiography and cardiac MRI are valuable tools for evaluating these conditions.
Abstract:
Advanced cardiac imaging is a valuable method to investigate cardiac malformations. The detection of the interventricular membranous septum has clinical significance due to thrombogenic and arrythmogenic predisposition, as well as a role in obstructing the pulmonary flow. This review describes six clinical presentations in which advanced cardiac imaging has been the tool for evaluation, with special emphasis in CT angiography and cardiac MRI sequences. Teaching Points • The interventricular membranous septum can predispose patients to thrombogenic and arrythmogenic events. • Subpulmonic stenosis relates to the protrusion of the aneurysm into the right ventricle • During surgery, ventricular pressures of the opened heart become balanced, making the aneurysm less evident.
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