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Incidence and Clinical Significance of Interatrial Shunting in Patients with Atrial Septal Aneurysm Detected by Contrast Transesophageal Echocardiography

Tang-Chao Xian, MD

Hirohide Matsuo, MD

Katsufumi Mizushige, MD

Second Department of Internal Medicine Kagawa Medical University 1750-1, Miki, Kita Kagawa 761-0793 Japan

The prevalence of atrial septal aneurysm (ASA) in a general referral population of patients was investigated by use of transthoracic (TTE) and transesophageal echocar diographies (TEE). Contrast TEE was performed to detect interatrial shunting in patients with ASA. In this population, the prevalence of ASA as determined by TTE was 0.47% (24/5,079), and 0.78% (40/5,079) by TEE. Of these 40 patients 16 (40%) were judged to be normal by TTE. Of the forty patients who were positive for ASA, 50% demonstrated interatrial shunting (atrial septal defects, 10; patent foramen ovale, 10). The authors concluded that TEE is of significant value in detecting the presence of ASA and associated cardiac abnormalities. Contrast TEE further enhances the detection of interatrial shunting in patients with ASA.

Angiology, Vol. 50, No. 9, 745-753 (1999)
DOI: 10.1177/000331979905000908


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