HomeAnswersCardiologyechocardiogramWhat does evidence of atrial septal aneurysm in an echo indicate?

Echo shows evidence of atrial septal aneurysm. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At May 11, 2019
Reviewed AtJune 15, 2023

Patient's Query

Hello doctor,

I had an echo done yesterday, after having chest pains and palpitations for about a month. I looked up to my results and while my results mostly looked good, there was something very alarming in there. It said evidence of atrial septal aneurysm. I cannot get another appointment with my cardiologist until a month from now, and I am not sure I can live like this for a month. Please tell me everything I need to know about the atrial septal aneurysm. I am a 31-year-old female with a height of 5'4" and weight of 127 lbs.

Hello,

Welcome to icliniq.com.

Your symptoms are unlikely to be related to this. An isolated atrial septal aneurysm is a benign condition most of the times, but this may be associated with atrial septal defects which can cause symptoms. So, if you are just having an atrial septal aneurysm and since there is no history of stroke or TIAs in you, it is probably a benign condition. It is important that we look for ASD (atrial septal defect) in you. If there is associated ASDs then it will need closure. So, further management depends on the presence or absence of ASD. So, try to contact the doctor and obtain a full report. However, in either case, it is not immediately life-threatening. So, nothing should happen to you due to this. So, just calm down and you can get some beta blockers like Metoprolol prescribed from the local physician for symptomatic relief. Also, it is better if you can attach your ECG if you have. So, your symptoms are may be due to associated ASD which is not mentioned in your report (attachment removed to protect patient identity) or probably related to anxiety if no other abnormalities seen in echo. So, either it is not immediately life-threatening. Also, this is seen in around 0.5 to 2 percent in normal individuals.

Patient's Query

Hi doctor,

Thank you so much for helping to calm me down. I read the whole report and it did not say anything about an atrial septal defect, which I thought the echo can detect. They did a bubble study and all the bubbles stayed where they were supposed to. I just worry about the ASA because it is such a rare condition. I feel like there is not really enough known about it.

Hi,

Welcome back to icliniq.com.

Okay. Then there is nothing to worry about it. ASA is not a rare condition, as I mentioned, it may be seen 1 to 2 percent of the population, which means it is quite common. And this will not explain your symptoms. So, in my opinion, since there is no ASD on echo and bubble study and no stroke in the past, you should not worry about it and needs no specific treatment at present.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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