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Circulation, Vol 63, 1186-1188, Copyright © 1981 by American Heart Association

ARTICLES

Atrial septal aneurysm: a cause for midsystolic click. Report of a case and review of the literature

MD Alexander, KR Bloom, P Hart, F D'Silva and JP Murgo

A patient who was evaluated for a midsystolic click was found to have an aneurysm of the atrial septum as an isolated anomaly. Bulging of this aneurysm into the right atrium was associated with the production of the click. Echo-, phono-, and angiocardiographic features are presented, with a review of the literature on atrial septal aneurysms. These aneurysms, although rare, should be considered in the differential diagnosis of patients with midsystolic click.

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