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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Worried About The Inter Atrial Septal Aneurysm Bowing Into Right Atrium?

Hi, I just received an echocardiogram report which shows: left ventricle, normal; left atrium normal, right ventricle normal, right atrium- normal, SEPTUM - INTER ATRIAL SEPTAL ANEURYSM BOWING INTO RA. NO SHUNT.
Aortic valve, normal. Trace mount of aortic insufficiency, Mitral valve - normal, Tricuspid Valve, Trace regurg,
Pulmonic valve, normal, pericardium no effusion, aorta, root and ascending, normal.

I am 50 year old, post congenital coarc of aorta corrected in 1982 (age 18). Should I worry about the ASA. Should I consider removing same. TY
posted on Fri, 14 Mar 2014
Twitter Tue, 15 Apr 2014 Answered on
Twitter Wed, 16 Apr 2014 Last reviewed on
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Cardiologist,  's  Response
Dear Sir/ madam
Thanks for writing to HCM.
Atrial septal aneurysm without a shunt is a benign entity for most of patients. It is never removed by surgery. Only in patients with repeated unexplained strokes, it may be considered as a culprit and anti-coagulation may be advised.
Hope this helps.
Sincerely
Sukhvinder
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Should I Be Worried About The Inter Atrial Septal Aneurysm Bowing Into Right Atrium?

Dear Sir/ madam Thanks for writing to HCM. Atrial septal aneurysm without a shunt is a benign entity for most of patients. It is never removed by surgery. Only in patients with repeated unexplained strokes, it may be considered as a culprit and anti-coagulation may be advised. Hope this helps. Sincerely Sukhvinder