Echocardiography (M-mode and 2-dimensional) has identified unusual cardiac anomalies which, not related with cardiac murmurs or clicks or other clinical marks, had not been elsewhere discovered. Among them there is the atrial septal aneurysm, which often occurs with other cardiac malformations (congenital or acquired), but sometimes occurs as an isolated abnormality. The Authors report a case of isolated atrial septal aneurysm, detected in a 6 year-old boy.
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