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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.


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


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.

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:
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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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