Atrial septal aneurysms in childhood: prevalence, classification, and concurrent abnormalities.
Title | Atrial septal aneurysms in childhood: prevalence, classification, and concurrent abnormalities. |
Publication Type | Journal Article |
Year of Publication | 2014 |
Authors | Giannopoulos, A., Gavras C., Sarioglou S., Agathagelou F., Kassapoglou I., & Athanassiadou F. |
Journal | Cardiol Young |
Volume | 24 |
Issue | 3 |
Pagination | 453-8 |
Date Published | 2014 Jun |
ISSN | 1467-1107 |
Keywords | Adolescent, Atrial Septum, Child, Child, Preschool, Female, Heart Aneurysm, Heart Defects, Congenital, Humans, Male, Prevalence, Prospective Studies |
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. |
DOI | 10.1017/S1047951113000607 |
Alternate Journal | Cardiol Young |
PubMed ID | 23742845 |