Atrial septal aneurysm

Case contributed by Matt A. Morgan
Diagnosis almost certain

Presentation

Incidentally found on a Cardiac CT for evaluation of the coronary arteries.

Patient Data

Age: 55 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

There is a saccular outpouching of the interatrial septum from the left atrium into the right atrium. It measures 11 mm off the midline, with a 13 mm base.

Case Discussion

A small outpouching of the interatrial septum at the fossa ovalis is common.  

When the outpouching is termed "aneurysmal," however, varies according to the source with a range of 11-15 mm.

Atrial septal aneurysms have been associated patent foramen ovale and with an increased incidence of thromboembolic events. 

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