A giant atrial septal aneurysm causing tricuspid valvular obstruction

J Clin Ultrasound. 2020 Oct;48(8):503-505. doi: 10.1002/jcu.22813. Epub 2020 Jan 13.

Abstract

Atrial septal aneurysm (ASA) is a rare congenital malformation consisting of redundant atrial septal tissue that bulges into either the right or the left atrium. Here, we report the case of a 45-year-old man with a giant ASA prolapsing into the tricuspid orifice and leading to tricuspid valvular obstruction. He was treated successfully by resection of the ASA and repair of the resulting atrial septal defect. Our case indicates the utility of transthoracic, contrast, and transesophageal echocardiography to characterize a huge ASA causing tricuspid valvular obstruction.

Keywords: atrial septal aneurysm; echocardiography; tricuspid valvular obstruction.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Echocardiography, Transesophageal
  • Female
  • Heart Aneurysm / complications*
  • Heart Aneurysm / diagnostic imaging
  • Heart Aneurysm / pathology
  • Heart Atria / diagnostic imaging
  • Heart Septal Defects, Atrial / surgery
  • Humans
  • Male
  • Middle Aged
  • Tricuspid Valve Stenosis / diagnostic imaging
  • Tricuspid Valve Stenosis / etiology*
  • Tricuspid Valve Stenosis / pathology