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Interatrial shunting in atrial septal aneurysm
Authors:R N Belkin  R A Waugh  J Kisslo
Affiliation:1. Division of Cardiology, Department of Pediatrics, Mattel Children''s Hospital at University of California at Los Angeles, Los Angeles, California;2. Division of Cardiology, Department of Pediatrics, Primary Children''s Hospital, University of Utah, Salt Lake City, Utah;3. Division of Cardiology, Department of Pediatrics, Children''s Hospital & Medical Center, University of Nebraska Medical Center, Omaha, Nebraska;1. Department of Cardiothoracic Surgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark;2. National Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1353 Copenhagen K, Denmark;3. Pediatric Cardiology, Department of Pediatrics, Cincinnati Children''s Hospital, Cincinnati, OH, USA;4. Department of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark;1. Keio University, Tokyo, Japan;2. Tokyo University, Tokyo, Japan;3. University of Colorado, Aurora, CO;4. The Denver Veterans Affairs Medical Center, Denver, CO;5. Duke University, Durham, NC;1. Department of Digestive Diseases, Emory Transplant Center, Emory University, Atlanta, GA, USA;2. Department of Cardiology, Director of Adult Congenital Heart Disease, Emory University, Atlanta, GA, USA;3. Emory University, Atlanta, GA, USA
Abstract:Adequate contrast 2-dimensional (2-D) echocardiograms were recorded in 13 to 16 patients with typical 2-D findings of atrial septal aneurysm. Five patients were referred for detection of intracardiac source of emboli after embolic stroke and 11 were evaluated for suspicion of valvular or other forms of heart disease. Contrary to findings of previous clinical studies, all 13 patients had 2-D evidence of right-to-left atrial level shunting. These findings represent the first clinical evidence of a high prevalence of atrial shunting in patients with atrial septal aneurysm.
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