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Reports surgical excision of a giant atrial septal aneurysm and defect closure in an adult, highlighting management of embolic risk.
A 46-year-old woman presented for a routine echocardiogram, which revealed a giant atrial septal aneurysm (ASA) with an atrial septal defect (ASD). We surgically excised the ASA and closed the ASD with a pericardial patch. ASA, although rare, poses embolic risks, thus necessitating closure when associated with shunts. Optimal stroke prevention remains uncertain.
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Fuertes-Kenneally et al. (2024) studied this question.
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