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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Yetkin, Ertan Atalay, Hakan and Ileri, Mehmet 2016. Atrial septal aneurysm: Prevalence and covariates in adults. International Journal of Cardiology, Vol. 223, p. 656.


    Sun, Heather Y. Fripp, Raymond R. and Printz, Beth F. 2015. Unusual consequence of a fetal atrial septal aneurysm. Clinical Case Reports, Vol. 3, Issue. 6, p. 368.


    Ramakrishna, Harish Patel, Prakash A. Gutsche, Jacob T. Kohl, Benjamin A. Savino, Joseph S. and Augoustides, John G.T. 2014. Incidental Patent Foramen Ovale in Adult Cardiac Surgery: Recent Evidence and Management Options for the Perioperative Echocardiographer. Journal of Cardiothoracic and Vascular Anesthesia, Vol. 28, Issue. 6, p. 1691.


    Silvestry, Frank E. Cohen, Meryl S. Armsby, Laurie B. Burkule, Nitin J. Fleishman, Craig E. Hijazi, Ziyad M. Lang, Roberto M. Rome, Jonathan J. and Wang, Yan 2015. Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions. Journal of the American Society of Echocardiography, Vol. 28, Issue. 8, p. 910.


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Atrial septal aneurysms in childhood: prevalence, classification, and concurrent abnormalities

Abstract
Abstract

Objectives: This study sought to investigate the prevalence of atrial septal aneurysms in the paediatric population and to define coexisting abnormalities and their incidence. Background: Few papers refer to the prevalence of atrial septal aneurysms in childhood. Methods: We enrolled a total of 4522 children aged more than 12 months who underwent a transthoracic echocardiography. Atrial septal aneurysm was defined as a protrusion of the interatrial septum or part of it >15 mm beyond the plane of the atrial septum or phasic excursion of the interatrial septum during the cardiorespiratory cycle of at least 15 mm in total amplitude and a diameter of the base of the aneurysm of at least 15 mm. Results: Atrial septal aneurysms were found in 47 children (1.04%). They involved almost the entire septum in 14 patients (28.89%) and were limited to the fossa ovalis in 33 (71.11%). An atrial septal aneurysm was an isolated structural defect in 17 (35.56%). In 30 (64.44%) patients, it was associated with interatrial shunting – atrial septal defect and patent foramen ovale. At the echo follow-up after a year, no changes were recorded. Conclusions: Prevalence of atrial septal aneurysms is almost 1%. The most common abnormalities associated are interatrial shunts, that is, a patent foramen ovale and an atrial septal defect. From a medical point of view, it is suggested that no action is to be taken during childhood, as a child with an atrial septal aneurysm is not at increased risk compared with a child without one. Follow-up is scheduled on an individual basis.

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Corresponding author
Correspondence to: C. Gavras, MD, PhD, Paediatric Cardiology Unit, AHEPA University Hospital, Stilp Kyriakidi 1, Thessaloniki 54636, Greece. Tel: +00302351029822; Fax: +00302310994736; E-mail: christoforosgavras@hotmail.com
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1.A Olivares-Reyes , S Chan , EJ Lazar , K Bandlamudi , V Narla , K Ong . Atrial septal aneurysm: a new classification in two hundred five adults. J Am Soc Echocardiogr 1997; 10: 644656.

4.WJ Wolf , A Casta , DW Sapire . Atrial septal aneurysm in infants and children. Am Heart J 1987; 113: 11491153.

5.N Ozcelik , S Atalay , E Tutar , F Ekici . Prevalence of interatrial septal aneurysm in newborns and their natural course. Pediatr Cardiol 2006; 27: 343346.

6.B Schneider , P Hanrath , P Vogel , T Meinertz . Improved morphologic characterization of atrial septal aneurysm by transesophageal echocardiography: relation to cerebrovascular events. J Am Coll Cardiol 1990; 16: 10001009.

7.AC Pearson , D Nagelhout , R Castello , C Gomez , A Labovitz . Atrial septal aneurysm and stroke: a transesophageal echocardiographic study. J Am Coll Cardiol 1991; 18: 12231229.

8.Y Agmon , BK Khandeheria , I Meissner , et al. Frequency of atrial septal aneurysms in patients with cerebral ischemic events. Circulation 1999; 99: 19421944.

9.I Meissner , JP Whisnant , BK Khandheria , et al. Prevalence of potential risk factors for stroke assessed by transesophageal echocardiography and carotid ultrasonography: The SPARC Study. Mayo Clin Proc 1999; 74: 862869.

10.V Mattioli , M Aquilina , A Oldani , C Longhini , G Mattioli . Atrial septal aneurysm as a cardioembolic source in adult patients with stroke and normal carotid arteries. Eur Heart J 2001; 22: 261268.

11.JH Hung , JH Lu , CY Hung . Prenatal diagnosis of atrial septal aneurysm. J Clin Ultrasound 2008; 36: 5152.

12.PC Hanley , AJ Tajik , JK Hynes , et al. Diagnosis and classification of atrial septal aneurysm by two-dimensional echocardiography: report of 80 consecutive cases. J Am Coll Cardiol 1985; 6: 13701382.

13.WW Lai , T Geva , GS Shirali , et al. Guidelines and standards for performance of a pediatric echocardiogram: a report from the Task Force of the Pediatric Council of the American Society of Echocardiography. J Am Soc Echocardiogr 2006; 19: 14131430.

15.L Cabanes , JL Mas , A Cohen , et al. Atrial septal aneurysm and patent foramen ovale as risk factors for cryptogenic stroke in patients less than 55 years of age. A study using trans-esophageal echocardiography. Stroke 1993; 24: 18651873.

16.A Mugge , WG Daniel , C Angermann , et al. Atrial septal aneurysm in adult patients: a multicenter study using transthoracic and transesophageal echocardio-graphy. Circulation 1995; 91: 27852792.

17.M Marazanof , R Roudaut , A Cohen , et al. Atrial septal aneurysm: morphologic characteristics in a large population: pathological associations: a French multicenter study on 259 patients investigated by transoesophageal echocardiography. Int J Cardiol 1995; 52: 5965.

18.JR Overell , I Bone , KR Lees . Interatrial septal abnormalities and stroke: a meta-analysis of case–control studies. Neurology 2000; 55: 11721179.

19.JL Mas , C Arquizan , C Lamy , et al. Recurrent cerebrovascular events associated with patent foramen ovale, atrial septal aneurysm or both. N Engl J Med 2001; 345: 17401746.

20.S Homma , RL Sacco . Patent foramen ovale and stroke. Circulation 2005; 112: 10631072.

21.JR Kizer , RB Devereux . Patent foramen ovale in young adults with unexplained stroke. N Engl J Med 2005; 353: 23612372.

22.JL Saver . Cryptogenic stroke in patients with patent foramen ovale. Curr Atheroscler Rep 2007; 9: 319325.

23.Y Ueno , Y Shimada , R Tanaka , et al. Patent foramen ovale with atrial septal aneurysm may contribute to white matter lesions in stroke patients. Cerebrovasc Dis 2010; 30: 1522.

24.S Morelli , P Voci , G Morabito , et al. Atrial septal aneurysm and cardiac arrhythmias. Int J Cardiol 1995; 49: 257265.

25.RN Belkin , J Kisslo . Atrial septal aneurysm: recognition and clinical relevance. Am Heart J 1990; 120: 948957.

26.PT Wilmhurst , S Nightingale , KP Walsh , WL Morrison . Effect on migraine of closure of cardiac right-to-left shunts to prevent recurrence of decompression illness or stroke or for haemodynamic reasons. Lancet 2000; 356: 16481651.

27.S Carerj , MC Narborne , C Zito , et al. Prevalence of atrial septal aneurysm in patients with migraine: an echo cardiographic study. Headache 2003; 43: 725728.

28.PE Scholz , E Zitron , AH Katus , AC Karle , D Mereles . Atrial septal aneurysm mimicking ECG signs of enlarged right atrium. Europace 2007; 9: 475476.

29.IA Paraskevaidis , D Tsiapras , S Kyrzopoulos , DT Kremastinos . Familial origin of atrial septal aneurysm. Am J Cardiol 2006; 97: 148150.

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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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