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Abstract
ATRIAL SEPTAL ANEURYSM WITH ACUTE HEART FAILURE IN (HFREF) AND SEVERE MR; A DIFFICULT CASE TO TREAT: CASE REPORT
Ayman Farouk Soliman*, Faisal Al Anazi, Yahia Al Zahrani and Maryam Al Qahtani
ABSTRACT
Atrial septal aneurysm (ASA) is a congenital cardiac anomaly that is characterized by saccular formation of the interatrial septum. Redundant atrial septal tissue results in bulging of the septum into either or both atria during the cardiac cycle. About 70% of patients can also have an associated PFO, placing them at increased risk of cryptogenic stroke.[1] Diagnostic criteria for ASA established by Hanley based on the appearance on echocardiography are: aneurysmal dilatation of the atrial septum protruding at least 1.5 cm beyond the plane of the atrial septum or phasic excursion of the interatrial septum during the cardiac cycle of at least 1.5 cm in total amplitude with a diameter at the base of the aneurysm of at least 1.5 cm.[2]
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