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Surgical management of a giant atrial septal aneurysm
  • +2
  • Motoyuki Kumagai,
  • Junichiro Nishizawa,
  • Makoto Takehara,
  • Eiji Shinoda ,
  • Kenji Minatoya
Motoyuki Kumagai
Kyoto University Graduate School of Medicine Department of Cardiovascular Surgery
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Junichiro Nishizawa
Hamamatsu Rosai Hospital
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Makoto Takehara
Hamamatsu Rosai Hospital
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Eiji Shinoda
Hamamatsu Rosai Hospital
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Kenji Minatoya
Kyoto University Graduate School of Medicine Department of Cardiovascular Surgery
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Abstract

A 63-year-old woman presented with chest discomfort. Coronary angiography revealed vasospastic angina. Cardiac multi detector computed tomography and cardiac magnetic resonance imaging showed a 30 × 30-mm atrial septal aneurysm (ASA) protruding into the right atrium and thrombus attached to the left side of the ASA pouch. We surgically resected the ASA because the patient was at risk for systemic thrombosis. The resection site was closed with pericardial patch through a median sternotomy under a cardiopulmonary bypass. The postoperative course was uneventful, and the patient was discharged on postoperative day 26.