Giannopoulos Andreas, Gavras Christoforos, Sarioglou Stavroula, Agathagelou Fotini, Kassapoglou Irene, Athanassiadou Fani
1 Paediatric Cardiology Unit, AHEPA University Hospital, Greece.
2 B Department of Paediatrics, AHEPA University Hospital, Thessaloniki, Greece.
Cardiol Young. 2014 Jun;24(3):453-8. doi: 10.1017/S1047951113000607. Epub 2013 Jun 7.
This study sought to investigate the prevalence of atrial septal aneurysms in the paediatric population and to define coexisting abnormalities and their incidence.
Few papers refer to the prevalence of atrial septal aneurysms in childhood.
We enrolled a total of 4522 children aged more than 12 months who underwent a transthoracic echocardiography. Atrial septal aneurysm was defined as a protrusion of the interatrial septum or part of it >15 mm beyond the plane of the atrial septum or phasic excursion of the interatrial septum during the cardiorespiratory cycle of at least 15 mm in total amplitude and a diameter of the base of the aneurysm of at least 15 mm.
Atrial septal aneurysms were found in 47 children (1.04%). They involved almost the entire septum in 14 patients (28.89%) and were limited to the fossa ovalis in 33 (71.11%). An atrial septal aneurysm was an isolated structural defect in 17 (35.56%). In 30 (64.44%) patients, it was associated with interatrial shunting - atrial septal defect and patent foramen ovale. At the echo follow-up after a year, no changes were recorded.
Prevalence of atrial septal aneurysms is almost 1%. The most common abnormalities associated are interatrial shunts, that is, a patent foramen ovale and an atrial septal defect. From a medical point of view, it is suggested that no action is to be taken during childhood, as a child with an atrial septal aneurysm is not at increased risk compared with a child without one. Follow-up is scheduled on an individual basis.
本研究旨在调查儿科人群中房间隔瘤的患病率，并确定并存的异常情况及其发生率。
很少有论文提及儿童房间隔瘤的患病率。
我们纳入了总共4522名年龄超过12个月且接受经胸超声心动图检查的儿童。房间隔瘤定义为房间隔或其一部分在房间隔平面以外突出>15mm，或在心肺周期中房间隔的相位偏移总幅度至少为15mm且瘤体基部直径至少为15mm。
在47名儿童（1.04%）中发现了房间隔瘤。其中14例（28.89%）几乎累及整个房间隔，33例（71.11%）局限于卵圆窝。17例（35.56%）房间隔瘤为孤立的结构缺陷。30例（64.44%）患者伴有心房分流——房间隔缺损和卵圆孔未闭。在一年后的超声心动图随访中，未记录到变化情况。
房间隔瘤的患病率约为1%。最常见的相关异常是心房分流，即卵圆孔未闭和房间隔缺损。从医学角度来看，建议在儿童期不采取任何措施，因为患有房间隔瘤的儿童与未患该病的儿童相比，风险并未增加。随访需根据个体情况安排。
