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Doctor insights on: Interatrial Septal Aneurysm

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Is a small interatrial septal aneurysm with right to left shunting always patched?

Is a small interatrial septal aneurysm with right to left shunting always patched?

It depends: Typically a patent foramen ovale with intra-atrial septal aneurysm is closed if a patient has had a blood clot transit through the defect. This typically manifests as a stroke or other embolic event. If you have not had any embolic events treatment with Aspirin is all that is necessary. If you have had an event you should be on a blood thinner or consider having the defect closed. Good luck. ...Read more

Dr. Shadi Abu Halimah
1,397 Doctors shared insights

Aneurysm (Definition)

An aneurysm is an abnormally dilated blood vessel, usually defined as a diameter 2x normal or larger. As weakened vessels get larger, there is risk of potential ...Read more


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My echo says I have a "possible small interatrial septal aneurysm or patent foramen ovale." what does that mean?

My echo says I have a "possible small interatrial septal aneurysm or patent foramen ovale." what does that mean?

Usually nothing: A small patent foramen ovale is one of the most common and minor cardiac anomalies. Most people do not know they have one as in the vast majority there are no symptoms. This defect has been rarely related to migraines and strokes, but these are so uncommon that the condition is not treated unless there is a problem. The term aneurysm relates to the tissue of the atrial septum and is not risky. ...Read more

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What is atrial septal aneurysm?

What is atrial septal aneurysm?

Bulge in wall: Just a bulge in the thin wall between the two small chambers of the heart. ...Read more

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After echo and stress test I was diagnosed with atrial septal aneurysm and small pfo. Dr doesn't want to treat. I'm so scared, am I at risk? 28yo F

After echo and stress test I was diagnosed with atrial septal aneurysm and small pfo. Dr doesn't want to treat. I'm so scared, am I at risk? 28yo F

These: Findings are very common and if it were not for our advances in cardiac imaging you WOULD NEVER HAVE FOUND OUT about them. You Doctor does not want to treat and he/she is 100% CORRECT! So STOP WORRYING!
Sincerely hope this helps!
Dr Z ...Read more

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What is the definition or description of: atrial septal aneurysm?

What is the definition or description of: atrial septal aneurysm?

Floppy septum: The atrial septum devides the right atrium (upper heart chamber) from the left. During developement in the womb, there is a large opening in this wall which closes soon after birth. The closure can be floppy or redundent, and may be referred to as aneurysm. This is benign and not the type of aneurysm that needs repair or is at risk to rupture. ...Read more

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If atrial septal aneurysm's don't cause pain then why do I have pain?

If atrial septal aneurysm's don't cause pain then why do I have pain?

Not a true aneurysm: Atrial septal aneurysms are not "true" aneurysm like those that occur in blood vessels with a risk of rupture. Atrial septal aneurysms are simply an excess of tissue left over when you naturally closed your patent foramen ovale with tissue growing together to seal the atrial septum. There is debate about the significance of an atrial septal aneurysm among experts, but they do not cause pain. ...Read more

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I have an atrial septal aneurysm and now I know it has a hole they will do a tee how big does it need to be before they will need to patch it?

I have an atrial septal aneurysm and now I know it has a hole they will do a tee how big does it need to be before they will need to patch it?

Depends on flow: It is not just the size. If the shunting between the two sides results in ratio greater than 1.5 and you have symptoms you need the defect closed. Occasionally people get rhythm problems or thrombus formation due to atrial septal aneurysm and may need surgical treatment. ...Read more

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Can atrial septal defects and atrial septal aneurysms get bigger? Can they just now show up after having a baby if so does it mean it's bigger now?

Yes, Yes and maybe: Atrial septal defects and the flow through them can increase over time. Changes in blood volume and pressures can unmask a septal defect, and make it worse. The good news is that after her pregnancy, it is also possible for it to get better over time. I would see your cardiologist about this. ...Read more

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Are atrial septal defects or atrial septal aneurysms ever the result of infection?

Are atrial septal defects or atrial septal aneurysms ever the result of infection?

Yes but very rarely: It is possible to have an infection in the heart which weakens the atrial septum (causing an aneurysm) or even creates a complete holes (atrial septal defects). This is a very rare finding though and the illness that caused it is generally quite severe. ASDs and atrial septal aneurysms are very common though and most just occur during fetal (i.e. baby) development. ...Read more

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Is an atrial septal aneurysm always something your born with and if not how do they determine if you were or was causes by something?

No problems caused: Atrial septal aneurysm does not cause any problems. Unlike aortic aneurysms, they do not rupture. They may be associated with atrial septal defects, which may lead to other problems, but by themselves atrial septal aneurysms are not dangerous. ...Read more

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Is an atrial septal aneurysm dangerous or life threatening? Is an Effraction of 50-55% bad? Effraction changed from 65 to 50-55 within a yr. Is it bad

Is an atrial septal aneurysm dangerous or life threatening? Is an Effraction of 50-55% bad? Effraction changed from 65 to 50-55 within a yr. Is it bad

Atrial septal aneury: Ejection fraction 50-55% is normal and the change from 65% to 55% may well be within the variation of the measuring technology. Atrial septal aneurysm is generally not per se dangerous or life threatening though it can cause problems. Read this for more info:
http://circ. Ahajournals. Org/content/91/11/2785.full ...Read more

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Can a TEE test tell me the size of my ASD or PFO and Atrial Septal Aneurysm?

Yes, this test: Should be able to tell you the size and the clinical significance of these findings. ...Read more

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I have an Asd with left to right shunt and an atrial septal aneurysm. Do these shunts start as right to left then as get worse become left to right?

I have an Asd with left to right shunt and an atrial septal aneurysm. Do these shunts start as right to left then as get worse become left to right?

Usually starts L-->R: At birth the left side has higher pressures than the RT side. Thus flow is mainly L-->R. If the ASD is small it may close on its own but if not tends not to cause a problem. If it is large the flow L-->R increases volume load on the Right leading to increased RT pressure, this will reverse the net flow to Rt-->Lft. If large it should be closed before development of increase RT pressures. ...Read more

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Atrial septal aneurysm can they rupture? Are they dangerous. Echo done 4 yrs ago just leakyvalves. Had baby BP went up echo shows small hole & aneursym

Atrial septal aneurysm can they rupture? Are they dangerous. Echo done 4 yrs ago just leakyvalves. Had baby BP went up echo shows small hole & aneursym

Not really: Septal wall dilated, flutters but it is all inside heart so rupture is not the issue.
With hole - septal defect, - infection, paradoxical embolism, failure are possibilities.
Surgical repair is possible. ...Read more

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I have been diagnosed with atrial septal aneurysm and now know there is a PFO after having a bubble study done only a few bubbles seen. Should I worry?

Possibly: You maybe at increased risk of stroke. Patients who develop strokes of unknown cause (cryptogenic) have a high probability of having a pfo/aneurysm. Stroke prevention may include medications such as aspirin plavix (clopidogrel) or warfarin. Consultation with a cardiologist who can visualize your echo films or possibly do a TEE can guide you further. ...Read more

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Is an intra atrial septal aneurysm along with an ASD or Pfo dangerous? Can this aneurysm rupture?

No not rutpure, but: Aneurysmal interatrial septum refers to the 1cm billowing of the interatrial septum around a vertical axis. The risk with a PFO or ASD, is that of thromboembolism and potential stroke. Refer to research work by S. Homma from Columbia University, NY who initially suggested a link between cryptogenic stroke and PFO. Consider antiplatet therapy, before closure device, if possible. ...Read more

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I have a small atrial septal defect and aneurysm. The dimension of my left atrium is 4.0 CM and right atrium is 2.8cm. Are these ok?

I have a small atrial septal defect and aneurysm. The dimension of my left atrium is 4.0 CM and right atrium is 2.8cm. Are these ok?

Cardiologist: The interpretation of your ultrasound of the heart requires a cardiologist to review the scan. Small atrial septal defects sometimes do not have to be fixed, but without more information, cannot say whether the aneurysm is significant. The dimensions are at the upper limit of normal - but interpretation depends on your body size. ...Read more

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Can my cardio determine the size of my Atrial Septal Aneurysm from a regular echo? Doing bubble study to rule out PFO. He says no need for TEE. :-/

Echo for PFO: An echo is done with the ultrasound probe on the chest wall. The quality of the image depends on the "window" between your ribs. It is usually not easy to see the atrial septum well. Transesophageal echo (TEE) with the probe in the esophagus gives much more detailed images. One question, though, is whether TEE would change anything about plans for your treatment. Send me more details? ...Read more

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With an intra atrial septal aneurysm and an asd what are the chances of an embolism or stroke? What is an embolism?

With an intra atrial septal aneurysm and an asd what are the chances of an embolism or stroke? What is an embolism?

Increased risk: Http://circ. Ahajournals. Org/content/91/11/2785.full

The link above gives good information on risk and diagnosis of Atrial Septal Aneurysm. The big issue is when blood flow across the septum. Clots from the legs are usually stopped in the lungs. With a ASD, the clot will cross over and go up to the brain can cause stroke.
An embolism is when a clot travels in the blood and causes a blockage. ...Read more

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Atrial septal aneurysm cause enlarged heart?

Atrial septal aneurysm cause enlarged heart?

Atrial septal aneury: Usually doesn't cause enlarged heart unless associated with another cardiac abnormality like atrial septal defect. ...Read more

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Can endocarditis CAUSE atrial septal aneurysm with a pfo or ASD shunt?

Can endocarditis CAUSE atrial septal aneurysm with a pfo or ASD shunt?

No: A cerebral embolism can happen in someone with an undiagnosed PFO or ASD +/- atrial septal aneurysm. Endocarditis causes valve degeneration and/ or there could be a coronary embolism causing a heart attacks. ...Read more

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Can having an atrial septal aneurysm with a hole in it cause brain aneurysms which I have 3. Also is it safe for me to donate plasma?

Possibly: I cannot answer the plasma question but if you have an atrial septal defect then yes, any infected blood clots or material that gets into your veins could get around your lungs and cause it a brain aneurysm (paradoxical embolization). This should be discussed with your cardiologist to see if an atrial septal occluder device is needed. ...Read more

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Yearly echos to check heart. Have a pfo with atrial septal aneurysm. EA ratio was 1.01 on paper, normal range says (1.1-2.1). Dr didn't mention. Bad?

Yearly echos to check heart. Have a pfo with atrial septal aneurysm. EA ratio was 1.01 on paper, normal range says (1.1-2.1). Dr didn't mention. Bad?

Echocardiogram: E to A ratio on an echocardiogram measures diastolic function and your reading is borderline and, in my opinion, is not hemodynamically significant for diastolic dysfunction. Ask your cardiologist, who knows all your findings, if he/she agrees. ...Read more

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On 81mg aspirin after PFO and atrial septal aneurysm diagnosis. Is coated or un coated better? Am I still at risk while on this? So tired of worrying.

On 81mg aspirin after PFO and atrial septal aneurysm diagnosis. Is coated or un coated better? Am I still at risk while on this? So tired of worrying.

Pfo: It really does not matter whether a coated or uncoated aspirin is used. The aspirin is used for prevention in low risk patients and you should ask the prescribing physician why he is using this form of prevention ...Read more

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I have atrial septal aneurysm-protrusion 6 mm beyond the plane and a base width 10mm. Ecg showed incomplete right bundle branch block. Is this dangeros?

Maybe: Every ASD does not need to be repaired. However this one is moderately large. You are 24 with a long life ahead of you. Echocardiograms and other tests will inform your cardiologist about your best choice forward. Also how healthy and athletic you are will help inform the decision. The RBBB is benign and unimportant in my opinion and compatible with a normal life span ...Read more

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Can Adderall (dextroamphetamine and racemic amphetamine) be used for atrial septal aneurysm?

Can Adderall (dextroamphetamine and racemic amphetamine) be used for atrial septal aneurysm?

I am assuming: You mean along with an atrial septum aneurysm. I would not personally prescribe it in this situation. The person to ask would be your cardiologist who knows the mechanical details of your aneurysm. ...Read more

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I was diagnosed with a small PFO and atrial septal aneurysm. My heart is racing and palpitating since. Could I have a stroke or heart attack? Scared!!

I was diagnosed with a small PFO and atrial septal aneurysm. My heart is racing and palpitating since. Could I have a stroke or heart attack? Scared!!

With a PFO and: Atrial aneurysm there is the potential for a paradoxical stroke or heart attack but the odds are extremely small. You've had this your whole life and made it 28 years without issue so it is unlikely to occur immediately upon diagnosis. Your health care providers will manage this appropriately and in a timely fashion. ...Read more