A 46-year-old woman presented for a routine echocardiogram, which revealed a giant atrial septal aneurysm (ASA) with an atrial septal defect (ASD). We surgically excised the ASA and closed the ASD with a pericardial patch. ASA, although rare, poses embolic risks, thus necessitating closure when associated with shunts. Optimal stroke prevention remains uncertain.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10874989PMC
http://dx.doi.org/10.1016/j.jaccas.2023.102206DOI Listing

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