Abstract
Objective: To explore the characteristics of interatrial septal aneurysm(IASA) complicated with anomalies and its treatment. Methods: Thirty-two inpatients with IASA and complicated with anomalies and 20 outpatients with isolated IASA were identified in our department. In 20 outpatients(4 male, 16 female) with isolated IASA, 8 patients accompanies with patent foramen ovale(PFO), ages ranged from 3.5~54 years old, with an average of 36.38±15.15. In 32 inpatients(8 male, 24 female) with IASA complicated with anomalies, ages ranged from 3 months to 61 years old, with an average of 31.88±18.28. Length of IASA, height of IASA, diameter of right ventricle, and cardiac function tests of the left ventricle were evaluated by electrocardiogram, X-ray, transthoracic echocardiography(TTE), transesophageal echocardiography(TEE). The patients with IASA and complicated with anomalies underwent catheterization and interventional therapy or surgery. Results: In 32 patients with IASA and complicated with anomalies, 16 patients(50%) underwent surgery and 16 had interventional therapy. Multiple atrial septal defects(ASDs) were found, 7 patients underwent surgery and 6 underwent interventional therapy. Conclusion: The commonest anomalies complicated with IASA are ASDs, which are often multiple. TTE and TEE are the key methods to select patients for interventional therapy or surgical treatment.
Key words
Heart diseases /
Heart septal defects /
atrial /
Ultrasonography /
Electrocardiography
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DENG Dong-an;HOU Ming-xiao;HOU Chuan-ju;ZHU Xian-yang;HAN Xiu-min.
Interatrial septal aneurysm associated with anomalies[J]. Journal of China Clinic Medical Imaging. 2010, 21(7): 469-472
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