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Was there any color flow across the Inter atrial septum ?
An atrial septal aneurysm (ASA) is a well-recognized abnormality of uncertain clinical relevance.
Most subjects with this issue are without symptoms. However, its possible that this disorder may contribute to heart arrhythmias and blood clot formations.
If the aneurysm ruptures , there will be mixing of blood between the left and right atrium. in that case, the defect has to be closed surgically or by using a device in the cathlab.
As of now , nothing needs to be done. However , periodic echocardiography examination needs to be done ( once every 6 months ) to detect any complications.
Aneurysm actually refers to ballooning / dilatation due to weakness in the wall of a vascular structure.
Aneurysm of the Inter atrial septum (IAS ) would result from pressure differences across the septum, due to valvular abnormalities( Like Mitral regurgitation , MVP ).
In the absence of these accompanying disorders, IAS aneurysm could be due to a primary weakness in the septum.;
This aneurysm is not like a vascular aneurysm , which will bleed profusely , if it bursts.
if IAS aneurysm gives away, then it would cause mixing of blood between left and right atria, ( Shunting ). This would not be life threatening, however, would need to be repaired in the cathlab.
Apart from this, you should monitor this lesion by periodic echocardiography to rule out further changes.
Hope you understand now ?
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Sorry for the delayed response. I was away.
Since there is no evidence of stenosis or prolapse of the mitral valve, there is no relationship of this to the aneurysmal IAS.
I think this is a primary defect in the IAS . There should not be much reason to worry, other than routine follow ups.
There is no reason to suspect a bad Echo report also.
Thank-you for your help, I do appreciate it, I went into the echo feeling ok, then after reading the results(most of which I do not understand) I all of a sudden felt lousy.
I do accept your answer and appreciate your time. One more question. Is a stress test indicated?
You have a good ejection fraction.
That means , your heart is pumping blood as it normally should.
However, if you are having any symptoms of palpitations, breathlessness or chest pain , then a CT angiogram and stress test would be needed.