Flap excursion > 5 mm beyond plane of atrial septum
Flap demonstrates abnormal mobility
IMAGING
General Features
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Santos AC et al: Fetal atrial septal aneurysm: a differential diagnosis of aortic arch retrograde flow. BMJ Case Rep. 13(1), 2020
Jaeggi E et al: Fetal and neonatal arrhythmias. Clin Perinatol. 43(1):99-112, 2016
Channing A et al: Maternal hyperoxygenation improves left heart filling in fetuses with atrial septal aneurysm causing impediment to left ventricular inflow. Ultrasound Obstet Gynecol. 45(6):664-9, 2015
Sun HY et al: Unusual consequence of a fetal atrial septal aneurysm. Clin Case Rep. 3(6):368-9, 2015
Bassareo PP et al: High prevalence of interatrial septal aneurysm in young adults who were born preterm. J Matern Fetal Neonatal Med. 27(11):1123-8, 2014
Yozgat Y et al: Importance of close follow-up in the fetus with premature atrial contractions accompanied by atrial septal aneurysm: a case report. Case Rep Obstet Gynecol. 2013:391085, 2013
Hung JH et al: Prenatal diagnosis of atrial septal aneurysm. J Clin Ultrasound. 36(1):51-2, 2008
Papa M et al: Prevalence and prognosis of atrial septal aneurysm in high risk fetuses without structural heart defects. Ital Heart J. 3(5):318-21, 2002
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
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Diagnostic Checklist
TERMINOLOGY
Synonyms
Foramen ovale aneurysm
Aneurysm of septum primum
Redundant septum primum flap
Definitions
Redundant foramen ovale flap
Definition of redundancy varies between series
Flap extends at least halfway across left atrium
Flap excursion > 5 mm beyond plane of atrial septum
Flap demonstrates abnormal mobility
IMAGING
General Features
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Santos AC et al: Fetal atrial septal aneurysm: a differential diagnosis of aortic arch retrograde flow. BMJ Case Rep. 13(1), 2020
Jaeggi E et al: Fetal and neonatal arrhythmias. Clin Perinatol. 43(1):99-112, 2016
Channing A et al: Maternal hyperoxygenation improves left heart filling in fetuses with atrial septal aneurysm causing impediment to left ventricular inflow. Ultrasound Obstet Gynecol. 45(6):664-9, 2015
Sun HY et al: Unusual consequence of a fetal atrial septal aneurysm. Clin Case Rep. 3(6):368-9, 2015
Bassareo PP et al: High prevalence of interatrial septal aneurysm in young adults who were born preterm. J Matern Fetal Neonatal Med. 27(11):1123-8, 2014
Yozgat Y et al: Importance of close follow-up in the fetus with premature atrial contractions accompanied by atrial septal aneurysm: a case report. Case Rep Obstet Gynecol. 2013:391085, 2013
Hung JH et al: Prenatal diagnosis of atrial septal aneurysm. J Clin Ultrasound. 36(1):51-2, 2008
Papa M et al: Prevalence and prognosis of atrial septal aneurysm in high risk fetuses without structural heart defects. Ital Heart J. 3(5):318-21, 2002
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