From the Heart: Interatrial Septal Aneurysm Identified on Bedside Ultrasound

A 61 year-old man presented to the Emergency Department for one day of nonspecific chest pain. Bedside echocardiogram performed by the emergency physician revealed normal systolic cardiac function but also showed a large ( > 10mm) bicornuate interatrial septal aneurysm (IASA) projecting into t...

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Main Authors: Michael Butterfield, Christine Riguzzi, Oron Frenkel, Arun Nagdev
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2014-09-01
Series:Western Journal of Emergency Medicine
Online Access:http://escholarship.org/uc/item/584120mg
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author Michael Butterfield
Christine Riguzzi
Oron Frenkel
Arun Nagdev
author_facet Michael Butterfield
Christine Riguzzi
Oron Frenkel
Arun Nagdev
author_sort Michael Butterfield
collection DOAJ
description A 61 year-old man presented to the Emergency Department for one day of nonspecific chest pain. Bedside echocardiogram performed by the emergency physician revealed normal systolic cardiac function but also showed a large ( > 10mm) bicornuate interatrial septal aneurysm (IASA) projecting into the right atrium (Figure 1, Video 1). There was no evidence of intraatrial thrombus. A formal echocardiogram performed later that day confirmed the diagnosis and also detected a patent foramen ovale (PFO) with a left-to-right shunt that reversed with Valsalva maneuver. [West J Emerg Med. 2014;15(6):719–720]
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spelling doaj.art-06d289f4970343a09142ce2ef1b7824d2022-12-22T03:18:50ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182014-09-0115671972010.5811/westjem.2014.7.22972From the Heart: Interatrial Septal Aneurysm Identified on Bedside UltrasoundMichael Butterfield0Christine Riguzzi1Oron Frenkel2Arun Nagdev3Tulane University Medical Center, Internal Medicine, New Orleans, LouisianaHighland General Hospital, Department of Emergency Medicine, Oakland, CaliforniaHighland General Hospital, Department of Emergency Medicine, Oakland, CaliforniaHighland General Hospital, Department of Emergency Medicine, Oakland, CaliforniaA 61 year-old man presented to the Emergency Department for one day of nonspecific chest pain. Bedside echocardiogram performed by the emergency physician revealed normal systolic cardiac function but also showed a large ( > 10mm) bicornuate interatrial septal aneurysm (IASA) projecting into the right atrium (Figure 1, Video 1). There was no evidence of intraatrial thrombus. A formal echocardiogram performed later that day confirmed the diagnosis and also detected a patent foramen ovale (PFO) with a left-to-right shunt that reversed with Valsalva maneuver. [West J Emerg Med. 2014;15(6):719–720]http://escholarship.org/uc/item/584120mg
spellingShingle Michael Butterfield
Christine Riguzzi
Oron Frenkel
Arun Nagdev
From the Heart: Interatrial Septal Aneurysm Identified on Bedside Ultrasound
Western Journal of Emergency Medicine
title From the Heart: Interatrial Septal Aneurysm Identified on Bedside Ultrasound
title_full From the Heart: Interatrial Septal Aneurysm Identified on Bedside Ultrasound
title_fullStr From the Heart: Interatrial Septal Aneurysm Identified on Bedside Ultrasound
title_full_unstemmed From the Heart: Interatrial Septal Aneurysm Identified on Bedside Ultrasound
title_short From the Heart: Interatrial Septal Aneurysm Identified on Bedside Ultrasound
title_sort from the heart interatrial septal aneurysm identified on bedside ultrasound
url http://escholarship.org/uc/item/584120mg
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AT arunnagdev fromtheheartinteratrialseptalaneurysmidentifiedonbedsideultrasound