2015, Number 2
<< Back
Rev cubana med 2015; 54 (2)
Atrial septal aneurysm associated with stroke
Rodríguez ML, Serra VY
Language: Spanish
References: 10
Page: 175-179
PDF size: 138.45 Kb.
ABSTRACT
Atrial septal aneurysm is a sac-type deformation of thin tissue located in the area of
the foramen ovale, which is free to move into the right atrium, left or inclusive,
with greater excursion of 10 mm. It is a rare disease, which has a strong
association with stroke. A patient who was admitted with a diagnosis of
cardioembolic ischemic stroke, in the absence of relevant vascular risk factors an the absence of atrial fibrillation was presented. Transthoracic and transesophageal
echocardiogram confirmed atrial septal aneurysm associated with patent foramen
ovale. The association of this entity with cardioembolic stroke is recognized, the
possible mechanisms involved in its genesis is explained. It is recommended to
consider this diagnosis in all cryptogenic stroke by therapeutic options available.
REFERENCES
Hajsadeghi S, Chitsazan M, Namazi M, Chitsazan M. An aneurysmal interatrial septum with a patent foramen ovale and multiple fenestrations closed by a single occluder device. Acta Med Iran. 2012;50(10):713-6.
Olivares-Reyes A, Chan S, Lazar EJ, Bandlamudi K, Narla V, Ong K. Atrial septal aneurysm: a new classification in two hundred five adults. J Am Soc Echocardiogr. 1997 Jul-Aug;10(6):644-56.
Schernthaner C, Danmayr F, Daburger A, Eichinger J, Hammerer M, Strohmer B. High incidence of echocardiographic abnormalities of the interatrial septum in patients undergoing ablation for atrial fibrillation. Echocardiography. 2013 Apr;30(4):402-6.
Braunwald E. Tratado de Cardiología. Vol. II. 3ra. ed. México: Ed. Interamericana-Mc Graw-Hill; 1990. p. 1072.
Roldán FJ, Vargas-Barrón J, Vázquez-Antona C, Castellanos LM, Erdmenger- Orellana J, Romero-Cárdenas A, et al. Three-dimensional transesophageal echocardiography of the atrial septal defects. Cardiovasc Ultrasound. 2008 Jul 18;6:38.
Tanislav C, Puille M, Grebe M, Sieweke N, Allendörfer J, Pabst W, et al. Factors associated with shunt dynamic in patients with cryptogenic stroke and patent foramen ovale: an observational cohort study. BMC Cardiovasc Disord. 2011 Aug 26;11:54.
Poantã L, Dumitraşcu DL, Fodor D, Albu A. Atrial septal aneurysm and stroke-a report of two cases. Rom J Intern Med. 2008;46(4):357-60.
Larrue V, Massabuau P. Patent foramen ovale and ischemic stroke. Minerva Med. 2012 Jun;103(3):199-207.
Rao S, Sila C. PFO Closure for Cryptogenic Stroke: Review of New Data and Results. Curr Treat Options Cardiovasc Med. 2013 Jun;15(3):360-71.
Cãlin CD, Cãlin A, Lupu M, Bucşa A, Ginghinã C. Acute embolic eventsmyocardial infarction and stroke, in the presence of an interatrial septal aneurysm. J Med Life. 2011 Aug 15;4(3):302-4.
Full text