Wos S, Bachowski R, Domaradzki W, Jasinski M, Matuszewski M, Ceglarek W, Deja M
II Department of Cardiac Surgery, Silesian Medical School, Katowice, Poland.
J Cardiovasc Surg (Torino). 1996 Dec;37(6 Suppl 1):139-42.
The atrial septal aneurysm (ASA) is a morphologic abnormality known to cause peripheral and pulmonary embolism. 28-52% patients with ASA have embolic events. However ASA -- with no other concomittant cardiac patology has rarely been reported as the indication for open heart surgery. In this work, five cases of patients operated for ASA are presented. Embolic complications with cerebral symptoms were presented in three cases. The diagnosis of ASA was established with the use of transesophageal echocardiography. The surgical correction of the defect was performed in extracorporeal circulation. The aneurysmal part of interatrial septum was excised and replaced with a pericardial patch. The postoperative course was uneventful. The patients have no new embolic events during the follow up period of one year.
房间隔瘤（ASA）是一种已知可导致外周和肺栓塞的形态学异常。28%至52%的房间隔瘤患者会发生栓塞事件。然而，单纯房间隔瘤且无其他合并心脏病变作为心脏直视手术指征的情况鲜有报道。在本研究中，我们呈现了5例因房间隔瘤接受手术的患者。其中3例出现了伴有脑部症状的栓塞并发症。通过经食管超声心动图确诊为房间隔瘤。在体外循环下对缺损进行了手术矫正。切除房间隔的瘤样部分，并用心包补片进行修补。术后过程顺利。在一年的随访期内，患者未发生新的栓塞事件。
