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Updated: Mar 14, 2026
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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
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Windsock deformity of interatrial septum
Keerthi Chigurupati1, Kirubanand Senniappan1, Shrinivas Gadhinglajkar1
1Department of Anesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Annals of Cardiac Anaesthesia
|October 8, 2016
Summary
Atrial septal aneurysm (ASA) in children lacks a clear echocardiographic definition. Rupture can cause cardiac failure and thrombus formation, highlighting the need for diagnostic criteria.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Echocardiography
Background:
- The "Windsock deformity" is a known indicator of ruptured aneurysmal sinus of Valsalva.
- Atrial septal aneurysm (ASA) is a rare condition in children.
- Current echocardiographic definitions for pediatric ASA based on dimensions are insufficient.
Observation:
- Rupture of an atrial septal aneurysm, while uncommon, can lead to significant clinical complications.
- Acute right ventricular (RV) volume overload is a potential consequence of ASA rupture.
- Untreated ASAs carry the risk of thrombus formation within the aneurysm.
Findings:
- There is a lack of standardized echocardiographic criteria for diagnosing atrial septal aneurysm in pediatric populations.
- The clinical implications of ASA rupture in children include the potential for acute heart failure.
- Thrombus formation is a recognized complication of untreated atrial septal aneurysms.
Implications:
- Establishing precise echocardiographic definitions for pediatric ASA is crucial for timely diagnosis and management.
- Early detection and intervention for ASA in children may prevent severe outcomes like cardiac failure.
- Further research is needed to delineate the natural history and optimal treatment strategies for pediatric ASA.
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