case_images: PMC1224860_01
case_images: Aneurysmal atrial septal defect. (A) Transesophageal echocardiogram showing the left atrium (LA) and right atrium (RA). The atrial septal aneurysm can be seen bulging into the left atrium, and the ASD is shown (arrow). (B) Color flow Doppler across the atrial septum demonstrates multiple fenestrations with three distinct jets seen crossing the septum.
case_images: 1476-7120-3-28-1.jpg
case_images: PMC1224860_01_1476-7120-3-28-1.jpg
case_images: F1
case_images: There was an atrial septal defect (ASD) with an aneurysmal interatrial septum (figure 1a), and mild left-to-right shunting only. Color flow Doppler across the atrial septum demonstrated multiple fenestrations (figure 1b).
case_images: Introperative findings. (A) Intra-operative photograph demonstrating the fenestrated nature of the atrial septal defect, and the final result following surgical repair (B).
case_images: 1476-7120-3-28-2.jpg
case_images: PMC1224860_01_1476-7120-3-28-2.jpg
case_images: F2
case_images: Due to the fenestrated nature of the defect, surgical correction was performed (figures 2a and 2b).