Membranous septal aneurysm causing severe tricuspid regurgitation and ring-like appearance

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dc.authorid0000-0002-8877-3520
dc.authorid0000-0002-2262-3087
dc.authorid0000-0001-6731-8177
dc.contributor.authorAkdemir, Ramazan
dc.contributor.authorÖzhan, Hakan
dc.contributor.authorÖzer, İlker
dc.contributor.authorÜnlü, Hakan
dc.contributor.authorBulur, Serkan
dc.contributor.authorUyan, Cihangir
dc.date.accessioned2021-06-23T18:54:24Z
dc.date.available2021-06-23T18:54:24Z
dc.date.issued2005
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAneurysm of the ventricular septum is a mechanism for spontaneous closure of ventricular septal defect. Also, it was considered as a benign condition; some valvular dysfunction and a source of systemic emboli might occur associated with aneurysm formation which is associated with VSD.1,2 Here, we report a patient with interventricular septal aneurysm causing severe tricuspid regurgitation and unique “ring-like” appearance associated with perimembranous VSD. A healthy looking female infant on day 10 of life was referred to our Cardiology clinic for echocardiographic evaluation. There was a grade of 3/6-ejection systolic murmur audible most prominent at the right sternal border. During routine neonatal examination chest x-ray and ECG were normal. An echocardiogram revealed defect which was 10 mm in diameter in the left ventricular membranous septal region. Left to right shunting was detected by color flow and spectral Doppler study and Qp/Qs was equal to 1. Any associated structure or significant tricuspid insufficiency was not disclosed. The patient was re-evaluated 1 year later. Echocardiography showed a free-floating circular image within the right ventricle with “ring-like” appearance just located below the tricuspid valve and severe tricuspid regurgitation associated with this image (Fig. 1A and 1B). Inferior Vena Cava was plethoric and peak RV systolic pressure was calculated as 85 mmHg. Multiple parasternal long–short axis, apical four-chamber and modified assessments revealed that the circular image was a cross section of an aneurysm formation associated with a membranous VSD (Fig. 1B and 1C). This is the first case to our knowledge causing this appearance and severe tricuspid regurgitationen_US
dc.identifier.doi10.1111/j.1540-8175.2005.00088.x
dc.identifier.endpage858en_US
dc.identifier.issn0742-2822
dc.identifier.issue10en_US
dc.identifier.pmid16343172en_US
dc.identifier.scopus2-s2.0-33646253451en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage857en_US
dc.identifier.urihttps://doi.org/10.1111/j.1540-8175.2005.00088.x
dc.identifier.urihttps://hdl.handle.net/20.500.12491/4417
dc.identifier.volume22en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkdemir, Ramazan
dc.institutionauthorÖzhan, Hakan
dc.institutionauthorÖzer, İlker
dc.institutionauthorÜnlü, Hakan
dc.institutionauthorBulur, Serkan
dc.institutionauthorUyan, Cihangir
dc.language.isoenen_US
dc.relation.ispartofEchocardiographyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTricuspiden_US
dc.subjectEchocardiography
dc.subjectHeart Aneurysm
dc.titleMembranous septal aneurysm causing severe tricuspid regurgitation and ring-like appearanceen_US
dc.typeArticleen_US

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