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Groudeva VV, Atzev BG, Petkov DG. Management of Late-Presenting Congenital Combined Heart Defect - Bicuspid Aortic Valve and Ventricular Septal Aneurysm. AMERICAN JOURNAL OF CASE REPORTS 2020; 21:e919766. [PMID: 32165609 PMCID: PMC7081954 DOI: 10.12659/ajcr.919766] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Patient: Female, 68-year-old Final Diagnosis: Bicuspid aortic valve and ventricular septal aneurysm Symptoms: Cough Medication:— Clinical Procedure: Plastic repair of ascending aorta and interventricular anurysm Specialty: Cardiac surgery
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Affiliation(s)
- Violeta V Groudeva
- Department of Diagnostic Imaging, University Hospital "St. Ekaterina", Sofia, Medical University, Sofia, Bulgaria
| | - Borislav G Atzev
- Department of Cardiology, University Hospital "St. Ekaterina", Sofia, Medical University, Sofia, Bulgaria
| | - Dimitar G Petkov
- Department of Cardiac Surgery, University Hospital "St. Ekaterina", Sofia, Medical University, Sofia, Bulgaria
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2
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Wang K, Wang X, Yu H, Liu X, Xing A, You Y. A single-center experience with 12 consecutive cases of pregnancy among patients with membranous ventricular septal aneurysm. BMC Pregnancy Childbirth 2018; 18:8. [PMID: 29298686 PMCID: PMC5751772 DOI: 10.1186/s12884-017-1646-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2016] [Accepted: 12/21/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Membranous ventricular septal aneurysm (MVSA) is a rare cardiac anomaly that can occur as an isolated entity or being associated with other cardiac malformations. Complications of MVSA include thromboembolism, arrhythmia, rupture, bacterial endocarditis, right ventricular outflow tract obstruction, and atrioventricular valve diseases.The success rate of pregnancy and delivery in patients with MVSA has not been reported in the literature. This study was to assess the clinical implications of this condition from our center's experience. METHODS This was a retrospective study for consecutive 12 pregnancies in women with MVSA, who delivered at a tertiary care center in west China between May 2008 and March 2015. RESULTS All patients with MVSA delivered via caesarian section. One patient with severe pulmonary arterial hypertension expired from pulmonary infection and heart failure after delivery. One patient terminated pregnancy in the second trimester- necessitated by cardiogenic shock. The other mothers had varying degrees of cardiac morbidity, but survived. Ten of thirteen newborns survived. Congenital heart disease and small-for-gestational-age (SGA) of newborn occurred in two cases (one twin and one single gestation). Two of these babies expired. CONCLUSIONS Maternal and neonatal risk appeared associated with heart functional classifications, pulmonary hypertension and histories of cardiac events such as serious cardiac arrhythmia. Accurate diagnosis and care by a multidisciplinary team is recommended for pregnant woman with MVSA.
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Affiliation(s)
- Kana Wang
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children, (Sichuan University), Ministry of Education, Chengdu, China
| | - Xiaodong Wang
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children, (Sichuan University), Ministry of Education, Chengdu, China
| | - Haiyan Yu
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China. .,Key Laboratory of Birth Defects and Related Diseases of Women and Children, (Sichuan University), Ministry of Education, Chengdu, China.
| | - Xinghui Liu
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children, (Sichuan University), Ministry of Education, Chengdu, China
| | - Aiyun Xing
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children, (Sichuan University), Ministry of Education, Chengdu, China
| | - Yong You
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children, (Sichuan University), Ministry of Education, Chengdu, China
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Abdul Jabbar A, Mufti O, Mazur W, Quraishi MB, Srivastava BK, Tivakaran V. Isolated Aneurysms of the Membranous Ventricular Septum Without Residual Shunts: Systematic Review and Description of 3 Cases in Adults. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:869-878. [PMID: 28230264 DOI: 10.7863/ultra.16.02087] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Accepted: 07/28/2016] [Indexed: 06/06/2023]
Abstract
A ventricular septal defect is the most common congenital cardiac abnormality encountered in infants and children. Many of them survive through adulthood before diagnosis. Two-thirds of the cases involve the membranous part of the septum. In the absence of an interventricular shunt or concomitant cardiac surgery, guidelines for surgical intervention or resection of isolated aneurysms of the membranous septum are not well established. In this report, we discuss a multi-imaging modality approach for the diagnosis and assessment of membranous ventricular septal aneurysms and review the experts' consensuses for follow-up and treatment strategies.
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Affiliation(s)
- Ali Abdul Jabbar
- Department of Internal Medicine, Division of Cardiology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
- Department of Cardiovascular Medicine, University of Toledo Health Science Campus, Toledo, Ohio, USA
| | - Omar Mufti
- Department of Internal Medicine, Division of Cardiology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
| | - Wojciech Mazur
- Department of Cardiology, Christ Hospital, Cincinnati, Ohio, USA
| | | | - Bal K Srivastava
- Department of Internal Medicine, Division of Cardiology, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA
| | - Vijay Tivakaran
- Department of Cardiology, Dayton VA Medical Center, Dayton, Ohio, USA
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4
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Deaconu A, Iancovici S, Wellnhofer E, Berger A, Gebker R, Pieske B, Pasic M, Kelle S. Interventricular septum aneurysm: Two differently managed cases and association with bicuspid aortic valve. Int J Cardiol 2015; 201:438-40. [PMID: 26313862 DOI: 10.1016/j.ijcard.2015.08.039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2015] [Accepted: 08/01/2015] [Indexed: 10/23/2022]
Affiliation(s)
| | | | - Ernst Wellnhofer
- Deutsches Herzzentrum Berlin, Department of Internal Medicine/Cardiology, Berlin Germany
| | - Alexander Berger
- Deutsches Herzzentrum Berlin, Department of Internal Medicine/Cardiology, Berlin Germany
| | - Rolf Gebker
- Deutsches Herzzentrum Berlin, Department of Internal Medicine/Cardiology, Berlin Germany
| | - Burkert Pieske
- Deutsches Herzzentrum Berlin, Department of Internal Medicine/Cardiology, Berlin Germany
| | - Miralem Pasic
- Deutsches Herzzentrum Berlin, Department of Internal Medicine/Cardiology, Berlin Germany
| | - Sebastian Kelle
- Deutsches Herzzentrum Berlin, Department of Internal Medicine/Cardiology, Berlin Germany.
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5
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Murphy TM, Waterhouse DF, Maher V, O'Hanlon R. CMR detection of membraneous ventricular septal aneurysm causing ventricular tachycardia. Diagn Interv Imaging 2015; 96:963-4. [PMID: 25920688 DOI: 10.1016/j.diii.2014.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2014] [Revised: 12/21/2014] [Accepted: 12/22/2014] [Indexed: 11/27/2022]
Affiliation(s)
- T M Murphy
- Blackrock Clinic, Center for Cardiovascular Magnetic Resonance, Rock Road, Dublin, Ireland.
| | - D F Waterhouse
- Blackrock Clinic, Center for Cardiovascular Magnetic Resonance, Rock Road, Dublin, Ireland
| | - V Maher
- Blackrock Clinic, Center for Cardiovascular Magnetic Resonance, Rock Road, Dublin, Ireland
| | - R O'Hanlon
- Blackrock Clinic, Center for Cardiovascular Magnetic Resonance, Rock Road, Dublin, Ireland
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You JY, Chun EJ, Choi SI, Joe E, Lee W, Kang JW, Seo MK, Yoon YE, Oh IY, Kim E, Lim TH. Clinical significance of incidentally detected aneurysms of the membranous ventricular septum in adults by multidetector computed tomography. Am J Cardiol 2015; 115:354-9. [PMID: 25491239 DOI: 10.1016/j.amjcard.2014.11.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 11/01/2014] [Accepted: 11/01/2014] [Indexed: 11/15/2022]
Abstract
Although the clinical relevance of aneurysm of the membranous ventricular septum (AMVS) in adults is unclear, the frequency of AMVS detection has been increased because cardiac multidetector computed tomography has been widely adopted for the evaluation of coronary artery disease. Therefore, we aimed to assess the clinical significance of AMVS in a longitudinal study. In 30,120 adults with suspected coronary artery disease who underwent cardiac multidetector computed tomography in 3 hospitals, 52 patients with AMVS were retrospectively selected. We evaluated the clinical symptoms and electrocardiographic abnormalities (cross-sectional study) and the prevalence of embolic stroke (observational study) during a median 40-month (range 6 to 74 months) observation period. For the assessment of embolic stroke, we excluded 9 patients with other explainable embolic sources. Conduction abnormalities were noted in 13 of 52 adults (25%) with AMVS on electrocardiography and embolic stroke occurred in 6 of 43 patients (14%). The mean age and the prevalence of hypertension were significantly higher in the embolic stroke group than in the event-free group (p <0.05). Thrombi were detected in the 11.6% of AMVS, which was significantly related with embolic stroke (p <0.05). The size and morphology did not change in 15 patients with serial follow-up images. In conclusion, our study suggests that AMVS in adults should not be ignored because AMVS may be related to conduction abnormality or embolic stroke, and it does not spontaneously resolve or diminish in size.
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Affiliation(s)
- Ja Yeon You
- Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea
| | - Eun Ju Chun
- Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea.
| | - Sang Il Choi
- Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea
| | - Eugene Joe
- Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea
| | - Whal Lee
- Department of Radiology, Seoul National University Hospital, Seoul, Korea
| | - Joon-Won Kang
- Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
| | - Myung-Ki Seo
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Yeonyee E Yoon
- Department of Internal Medicine and Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea
| | - Il-Young Oh
- Department of Internal Medicine and Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea
| | - Eunhee Kim
- Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea
| | - Tae-Hwan Lim
- Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
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Di Cesare E, Di Sibio A, Lanni G, Gennarelli A, Masciocchi C. Magnetic resonance imaging of AMS (Aneurysm of the Membranous Septum), review of the literature and case report. J Radiol Case Rep 2014; 8:9-15. [PMID: 25426225 DOI: 10.3941/jrcr.v8i5.1715] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Aneurysm of the Membranous Septum (AMS) is a rare cardiac disease, mostly associated with other cardiac anomalies, very rare in the absence of other congenital heart defects. A prompt diagnosis is important, due to severe potential complications, but remain challenging. Most of the cases were earlier diagnosed using ventriculography, but, with the availability of echocardiography and cardiovascular magnetic resonance (CMR), this disease can be accurately assessed non-invasively. We report a case of a 62 years old female patient, without other cardiac congenital disease, who was incidentally diagnosed, by means of CMR with a true and isolated AMS. Our report underlines CMR usefulness in AMS diagnosis, thanks to accurate evaluation (both morphologic and functional) provided by this diagnostic tool, which is able to demonstrate clearly the presence of AMS (aneurysm of the membranous septum) and depict its features.
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