The present report discusses a case of noncompaction of the ventricular myocardium in a 51-year-old woman with dilated cardiomyopathy of unknown etiology. [ncbi.nlm.nih.gov]

Thus, the present study cannot establish a scientifically proven link between ASA and cardiogenic embolism. [circ.ahajournals.org]

Unusual presentation of more common disease/injury A neurosurgical presentation of patent foramen ovale with atrial septal aneurysm Katie Walsh 1, Chandrasekaran Kaliaperumal 1, Gerry Wyse 2, George Kaar 1 1 Department of Neurosurgery, Cork University [casereports.bmj.com]

• Weakness

  Case Report A 53 year-old female presents with transient left side weakness which slowly improves over 3 days thereafter. Patient has a few years’ history of on and off palpitations. [escardio.org]

  Case Report In March 2000, a 68-year-old man with non-Hodgkin's lymphoma presented at the emergency room of our institution with a history of progressive left leg weakness. [ncbi.nlm.nih.gov]

  She reported generalised weakness, dizziness, sudden occurrence of vision disturbances, and transient dysphasia. Neurological signs and symptoms gradually improved over a period of 20 minutes. [ispub.com]

• Swelling

  When to see a doctor Contact your doctor if you or your child has any of these signs or symptoms: Shortness of breath Tiring easily, especially after activity Swelling of legs, feet or abdomen Heart palpitations or skipped beats These could be signs [mayoclinic.org]

  In the heart, they usually arise from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. [1] This, in turn, may block the passageways leading out of the heart, leading to severely constricted blood flow to [en.wikipedia.org]

  Case 2 A 57 year old Caucasian woman presented complaining of dyspnea on low level physical effort, fatigue, intermittent dry cough, and swelling of the legs. Symptoms had started years ago but were intensified during the last three months. [casesjournal.biomedcentral.com]

• Hypoxemia

  We report three consecutive cases of patients who had refractory hypoxemia and paradoxical embolism during the course of pulmonary embolism. [ncbi.nlm.nih.gov]

  In this article, two-dimensional echocardiography identified an atrial septal aneurysm as the site of intracardiac right-to-left shunting, causing hypoxemia in a patient with acute right ventricular infarction. [jamanetwork.com]

  The typical consequences of patent foramen ovale are paradoxical embolism of the thrombus, air or fat with a subsequent cerebrovascular accident (ischemic brain lesions on MRI), refractory hypoxemia, and platypnea-orthodeoxia syndrome where patients develop [em-consulte.com]

• Anemia

  In half of the patients, anemia and a leucocytosis may occur [ 1 ]. Our patient only had abdominal pain and leucocytosis. [em-consulte.com]

  Patients with coronary artery disease, heart failure, valve disease, cardiomyopathy, hypertension, diabetes mellitus, chronic lung disease, thyroid dysfunction, anemia, malignancy, renal and hepatic insufficiency, chronic inflammatory disease, pregnancy [omicsonline.org]

• Regurgitation

  Mild to moderate mitral and aortic valve regurgitation have been demonstrated in 153 (39%) patients and in 61(16%) patients respectively. [ncbi.nlm.nih.gov]

  Echocardiography demonstrated dilation of the right heart chambers, ASA type 1R, a 16 mm ASD type ostium primum, mitral regurgitation 2+, tricuspid regurgitation 3+, elevated PASP of 60 mmHg and aortic regurgitation 1+. [casesjournal.biomedcentral.com]

• Melena

  There was no history of diarrhea, hematochezia, melena, contact with other illnesses or recent trauma. [em-consulte.com]

• Hypertension

  To assess the prevalence of ASA and PFO according to ethnicity, we retrospectively studied 887 consecutive referrals to a General Cardiology and Hypertension clinics. All participants underwent trans-thoracic echocardiography (TTE). [ncbi.nlm.nih.gov]

  Those with a small ASD, normal right heart volume, and no pulmonary hypertension can participate fully. 2. Those with a large ASD and no pulmonary hypertension can participate fully. 3. [athletesheart.org]

  The subjects were defined as hypertensive if their blood pressure was ≥ 140/90 mmHg or if they were receiving any antihypertensive medication. [omicsonline.org]

• Mitral Valve Prolapse

  In this paper the Authors report on three patients affected by mitral valve prolapse associated with atrial septal aneurysm, one of whom complicated by a cerebral embolism. [ncbi.nlm.nih.gov]

  Levine RA, Triulzi MO, Harrigan P, Weyman AE: The relationship of mitral annular shape to the diagnosis of mitral valve prolapse. Circulation. 1987;75:756–767. [karger.com]

  Magherini A, Margiotta C, Bandini F, Simonetti L, Bartolozzi G (1986) Atrial septal aneurysm, ectasia of valsalva and mitral valve prolapse in Marfan's syndrome. Am J Cardiol 58 :172–173 Google Scholar 7. [link.springer.com]

  The association with mitral valve prolapse is interesting, as it has been suggested that both abnormalities reflect redundancy of endocardial tissue. 12 Up to 28% of patients who suffer from migraines with an aura have an ASA. [appliedradiology.com]

• Palpitations

  […] the case of a 28-year-old woman, who was admitted to our department complaining of progressive dyspnea of 10 days of evolution, five hours previous to her admission to the hospital; she presented sudden oppressive anterior chest pain, accompanied by palpitations [ncbi.nlm.nih.gov]

  Case presentation This case report describes the accidental discovery during an echocardiographic examination of a 64-year-old Caucasian woman who had a left bundle branch block and palpitations. [jmedicalcasereports.com]

  Two years later, she reported palpitations and by this time the IASA was found to be impinging on the tricuspid valve (Figure 2). A 24-hour Holter revealed ventricular ectopics, which correlated with palpitations. She declined further intervention. [bsecho.org]

  I was in great shape about a year ago, going to the gym regularly, when I began experiencing symptoms of shortness of breath with exertion, dizziness, loss of balance, diaphoresis, and palpitations. [inspire.com]

  ASA had been confirmed two years earlier in an examination for palpitation, to which the patient was very sensitive, making frequent visits to the emergency department. [intechopen.com]

• Tachycardia

  We describe the case of a 37-year-old woman with atrial tachycardia associated to atrial septal aneurysm. [ncbi.nlm.nih.gov]

  View Article Google Scholar Kalman JM, Olgin JE, Karch MR, Hamdan M, Lee RJ, Lesh MD: “Cristal tachycardias”: origin of right atrial tachycardias from the crista terminalis identified by intracardiac echocardiography. [jmedicalcasereports.com]

  IAS aneurysm can act as an arrhythmic focus, generating focal atrial tachycardias. A non ejection click may be occasionally heard as the IAS aneurysm bulges and tenses within LA/RA cavity. Reference 1. Olivares -Reyes A, et al. [drsvenkatesan.com]

  (PSVT)発作性上室性頻拍 paroxysmal ventricular tachycardia (PVT)発作性心室頻拍 patent ductus arteriosus (PDA) 動脈管開存［症］ percardial friction rub心膜摩擦音 percussion 打診［法］、叩打法〈マッサージの一法〉 percutaneous transluminal coronaryangioplasty (PTCA)経皮的冠［状］［動脈］形成［術］ percutaneous transluminal [tokyo-med.ac.jp]

• Systolic Murmur

  Physical examination revealed right facial palsy, a mid systolic murmur best heard at the apex, right upper and lower limb grade IV power with planters up-going, blood pressure was 90/60 mm hg. Electrocardiogram showed sinus rhythm. [ncbi.nlm.nih.gov]

  Physical examination was unremarkable except for isolated, mild, cardiac systolic murmur. The standard 12-lead electrocardiogram displayed a sinus rhythm without abnormalities, even in P wave morphology. [em-consulte.com]

  Her heart sounds were irregular, increased pulmonic component of the second heart sound was present, systolic murmur 4/6 at the left lower sternal border, systolic murmur 3/6 at the apex, diastolic murmur 2/6 at the second right intercostal space close [casesjournal.biomedcentral.com]

• Prolapse

  Roberts WC: Aneurysm (redundancy) of the atrial septum (fossa ovale membrane) and prolapse (redundancy) of the mitral valve. Am J Cardiol 1984;54:1153–1154. [karger.com]

  In this paper the Authors report on three patients affected by mitral valve prolapse associated with atrial septal aneurysm, one of whom complicated by a cerebral embolism. [ncbi.nlm.nih.gov]

  […] and a tricuspid valve prolapse in 7.2% of the patients. [circ.ahajournals.org]

  Magherini A, Margiotta C, Bandini F, Simonetti L, Bartolozzi G (1986) Atrial septal aneurysm, ectasia of valsalva and mitral valve prolapse in Marfan's syndrome. Am J Cardiol 58 :172–173 Google Scholar 7. [link.springer.com]

  The association with mitral valve prolapse is interesting, as it has been suggested that both abnormalities reflect redundancy of endocardial tissue. 12 Up to 28% of patients who suffer from migraines with an aura have an ASA. [appliedradiology.com]

• Suggestibility

  No atrial thrombi were seen and no signal voids adjacent to the atrial septum were found to suggest the presence of a patent foramen ovale (PFO). [appliedradiology.com]

  Computed tomography scan showed a pancreatic tumor, peritoneal carcinomatosis, vascular infiltration, and incidentally found a partially calcified hypodense lesion of 35 mm in the left atrium, suggesting a myxoma or a thrombus. [ncbi.nlm.nih.gov]

  Our experience, plus review of the literature, supports the suggestion that atrial septal aneurysm should be considered in the interpretation of added systolic sounds. [mayoclinic.pure.elsevier.com]

• Stroke

  Patients with both ASA and PFO who have had a stroke are at substantial risk for recurrent stroke despite aspirin therapy. [appliedradiology.com]

  Atrial septal aneurysm and patent foramen ovale as risk factors for cryptogenic stroke in patients less than 55 years of age. Stroke. 1993 ; 24 : 1865 –1873 24, Lascault G, Mas JL. [eurheartj.oxfordjournals.org]

  Stroke J Cereb Circ. 1993; 24:1865-1873 4 Razaq M, Parihar RK, Saini G Atrial septal aneurysm and stroke. [westjem.com]

  […] aneurysms (ASA) are associated with embolic strokes. [rwjms1.umdnj.edu]

  BACKGROUND AND PURPOSE: Stroke remains a substantial cause of mortality and morbidity in the United States. Racial differences in stroke incidence and mortality persist with well-known excesses among blacks. [ncbi.nlm.nih.gov]

• Seizure

  Here we present a 40 years male patient presents with right middle cerebral artery ischemic stroke with left sided hemi paresis, seizures and altered sensorium. All blood parameters and Doppler imaging showed normal study. [scopemed.org]

  These include using some medications for seizures, acne or bipolar psychiatric disorder, or having some diseases such as rubella (German measles), other viral diseases, diabetes or lupus early in pregnancy. [heart.org]

In addition to cerebral computed tomography (in 535 patients) or magnetic resonance imaging (in 428), all patients had a standardized workup to rule out definite causes of stroke. [nejm.org]

Patients and methods Patient selection and workup Diagnosis of an ASA is made on the basis of TEE, since transthoracic echocardiogram may not detect TEE-proven ASA in up to 47% of cases ( 3 ). [jovs.amegroups.com]

[…] embolism resulting in a right to left shunting of blood [36] Treatment [ edit ] Patent Foramen Ovale [ edit ] Most patients with a PFO are asymptomatic and do not require any specific treatment. [37] However, those who develop a stroke require further workup [en.wikipedia.org]

• Electrocardiogram Normal

  Electrocardiogram on 21 November 2012 showed no abnormal findings. Long-term Electrocardiogram on 21 November 2012 showed no abnormal findings. Ultrasound Doppler of the leg veins on 20 November 2012 showed no evidence of vein thrombosis. [medalerts.org]

OBJECTIVES: This study sought to investigate the safety and efficacy of transcatheter treatment of atrial septal aneurysm (ASA) associated with patent foramen ovale (PFO). [ncbi.nlm.nih.gov]

The principal findings of the study are: 1) transcatheter treatment of ASA + PFO is safe; 2) procedural success and complications of transcatheter treatment of ASA + PFO are similar to the treatment of patients with PFO alone; 3) the additional presence [onlinejacc.org]

Thomas' Hospital, London, United Kingdom. [email protected] Abstract Atrial septal restriction is estimated to occur in up to 22% of patients with hypoplastic left heart syndrome and is associated with poor prognosis postnatally. [ncbi.nlm.nih.gov]

The prognosis also depends on the stage at which the patient presents. The earlier the patient presents with symptoms, the worse is the prognosis. Children usually present with high output cardiac failure. [jpma.org.pk]

[…] exertion of the heart and prevent further growth of the aneurysm Antiarrhythmic treatment Prevention education for patients about the mural thrombus and thromboembolic complications Effective drug control symptoms for heart aneurysm vastly improve patient prognosis [hmcisrael.com]

There was no conclusive information regarding isolated ASA, and results about the prognosis of the association were inconsistent. [academic.oup.com]

The present report discusses a case of noncompaction of the ventricular myocardium in a 51-year-old woman with dilated cardiomyopathy of unknown etiology. [ncbi.nlm.nih.gov]

The resources of the Rochester Epidemiology Project were used to enumerate the Olmsted County population ≥45 years old. 4 The SPARC sampling process was designed to randomly select 580 subjects, stratified by sex and 5 age subgroups (45 to 54 years, 55 [circ.ahajournals.org]

Cardiac tamponade may occur if the rupture involves the pericardial space. [1] Epidemiology Frequency United States SVA was present in 0.09% of cadavers in a large autopsy series and ranged to 0.14-0.23% in a Western surgical series. [4] Two-dimensional [emedicine.medscape.com]

Percutaneous closure is the method of choice in most centres. [53] Studies evaluating percutaneous ASD closure among pediatric and adult population show that this is relatively safer procedure and has better outcomes with increasing hospital volume. [54] [55] Epidemiology [en.wikipedia.org]

These findings suggest that impaired LA and LAA functions are a crucial pathophysiologic mechanism for ischaemic stroke in subjects with ASA alone. [ncbi.nlm.nih.gov]

Short of breath symptom and cause: A right to left ASA can be secondary and the pathophysiologic mechanism can be the result of the right ventricular myocardial infarction (heart attack), pulmonary embolism (clot), and pneumonectomy, etc will elevate [medhelp.org]

Ann Pediatr Cardiol. 2012; 5:98-99 5 Wahl A, Krumsdorf U, Meier B Transcatheter treatment of atrial septal aneurysm associated with patent foramen ovale for prevention of recurrent paradoxical embolism in high-risk patients. [westjem.com]

Recurrent stroke prevention Various treatment modalities are available for secondary prevention in patients with cryptogenic stroke who on assessment have PFO. [ncbi.nlm.nih.gov]

To prevent residual bulging or excessive motion of the reconstructed interatrial septum, the patch is intentionally downsized relative to the defect by approximately 25%. Air emboli are prevented by a variety of techniques. [jovs.amegroups.com]