March 1987

Atrial Septal Aneurysm Associated With Systemic Embolism and Interatrial Right-to-Left Shunt

Author Affiliations

From the Division of Cardiology and the Department of Medicine, Coney Island Hospital, and the Department of Medicine, State University of New York Health Science Center at Brooklyn.

Arch Intern Med. 1987;147(3):605-606. doi:10.1001/archinte.1987.00370030203043

• Prior to the advent of two-dimensional echocardiography, atrial septal aneurysm was rarely diagnosed during life. 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. In addition to this rare presentation, the patient also had systemic embolism, a known complication of atrial septal aneurysms.

(Arch Intern Med 1987;147:605-606)