Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-24T06:13:18.389Z Has data issue: false hasContentIssue false
  • English
  • Français

Aneurysmal formation in the setting of muscular ventricular septal defects

Published online by Cambridge University Press:  20 April 2007

Funda Oztunc ,
Tevfik Demir ,
Levent Saltik  and
Alper Guzeltas
Funda Oztunc
Affiliation:
Department of Pediatric Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
Tevfik Demir
Affiliation:
Department of Pediatric Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
Levent Saltik
Affiliation:
Department of Pediatric Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
Alper Guzeltas
Affiliation:
Department of Pediatric Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective: To emphasize the formation of fibrous aneurysmal structures in the setting of muscular ventricular septal defects Methods: Among patients with muscular ventricular septal defects followed in our institute, we described six who were diagnosed with formation of fibrous aneurysms. Of the patients, one was female and others were male. The age at diagnosis ranged from eight days to 16 years. In one, the defect opened between the ventricular inlets, but in the others the defects occupied the middle part of the apical trabecular septum. Results: The sizes of defects at initial echocardiographic evaluation ranged from 2.9 to 8 millimetres. The period of follow up for four patients was from 5 months to 7 years, one patient could not be followed up, and the other had already been diagnosed when first seen in our Institution. In our second and third patients, no aneurysm was seen during the initial echocardiographic evaluation, and it was recognized during follow-up. In these two patients, sequential echocardiographic examinations showed that the formation of the aneurysm made the defect smaller, with it almost closing in one. Conclusion: Although seen most frequently in the setting of perimembranous defects, fibrous aneurysms can also form adjacent to, and reduce the size of, muscular ventricular septal defects.

Keywords

Muscular interventricular communicationsspontaneous closureechocardiography
Type
Original Article
Information
Cardiology in the Young , Volume 17 , Issue 3 , June 2007 , pp. 319 - 321
Copyright
© 2007 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chin AJ, Alboliras ET, Barber G, et al. Prospective detection by Doppler color flow imaging of additional defects in infants with a large ventricular septal defect. J Am Coll Cardiol 1990; 15: 1637–1642.Google Scholar
Ramaciotti C, Vetter JM, Bornemeier RA, Chin AJ. Prevalence, relation to spontaneous closure, and association of muscular ventricular septal defects with other cardiac defects. Am J Cardiol 1995; 75: 61–65.Google Scholar
Hiraishi S, Agata Y, Nowatari M, et al. Incidence and natural course of trabecular ventricular septal defect: two-dimensional echocardiography and color Doppler flow imaging study. J Pediatr 1992; 120: 409–415.Google Scholar
Snider AR, Server GA, Ritter SB. Echocardiography in Pediatric Heart Disease. Mosby, St. Louis, Missouri, 1997, pp. 261–263.
Anderson RH, Lenox CC, Zuberbuhler JR. Mechanisms of closure of perimembranous ventricular septal defect. Am J Cardiol 1983; 52: 341–345.Google Scholar
Du ZD, Roguin N, Barak M, Bihari SG, Ben-Elisha M. High prevalence of muscular ventricular septal defect in preterm neonates. Am J Cardiol 1996; 78: 1183–1185.Google Scholar
Ahmed W. Aneurysm of the mid-trabecular ventricular septal defect: a morphological novelty. Heart 2001; 85: 619.Google Scholar