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Echslight Bulging of atrial septum

Hello

I have been reading the helpful replies to concern
parties and need your views on the following
with my 20yo son who will be serving the army in
about 3 months time.

First checkup reported Abnormal ECG with
Sinus bradycardia HR 56 R wave lead II>2mV

Referred for 2D Echo results as follows:
Normal chamber sizes
Normal LV systolic function, no RWMA
Normal RV size and systolic function
Normal cardiac structure and function
No evidence of LVH/RVH
No intracardiac shunt
Echslight bulging of atrial septum towards right atrium - to review at the Heart Centre with regards to qsignificant of bulging of atrial septum and physical fitness exertion and combat training.

Could you kindly help us and give your views whether the above, especially the last point, is a serious or life threatening issue, and what can be done about it, and will such issue/bulge gets worst and life threatening with time or physical exertion.

Thank you very much for your help
Vince
9 Responses
Avatar universal
Can someone help us, please...thank you
Hvince
Avatar universal
Is there any doctor who can kindly advise on the above post. Thank you
Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

Understand your predicament.
The inter atrial septum is the wall that separates right from left atrium. When there is a bulge in the wall, there is a suspicion of Atrial septal aneurysm, which is a localized "saccular" deformity, generally at the level of the fossa ovalis. Atrial septal aneurysm is associated with congenital and acquired heart diseases but also can present as an isolated abnormality. Sometimes a transesophageal echocardiogram can provide more information. Please discuss this with your cardiologist.

Hope this helped and do keep us posted.
Avatar universal
Thank you Dr for your advice.

Meanwhile could you kindly advise whether a slight bulging of the atrial septum towards right atrium as detected from 2D Echo (report did not mentioned aneurysm) is a serious or life
threatening issue?  what normally can be done about it?  will such bulge gets worst and life threatening with time or with strenous physical exercise/exertion?

Thank you very much for your help
Vince
Avatar universal
could anyone kindly advise whether a slight
bulging of the atrial septum towards right atrium detected from 2D Echo (report did not mentioned
aneurysm) is a serious or life threatening issue?

what normally can be done about it?

will such bulge gets worst and life threatening with
time or with strenous physical exercise/exertion?

Any restrictions in diet and exercise?

Thank you very much for your help
Vince
Avatar universal
MEDICAL PROFESSIONAL
Hello and hope you are doing well.

The main concern with atrial septal aneurysm is the formation of thrombus, which in turn can cause emboli, which can get lodged in vital organs. Many people with an atrial septal aneurysm will also have a small communication (blood flow) between the two atria. For this reason, sometimes an additional study, referred to as a "bubble study", which is a special type of echocardiogram, may be performed to rule this out. The exact treatment of an atrial septal defect depends on the patients overall general condition. If your son has no symptoms now, your doctor may decide to wait and watch.

First consult a cardiologist, to rule out this diagnosis, then you can discuss further course of action. Good Luck.

Hope this helped and do keep us posted.
Avatar universal
Thank you dr for your advice. We will go to a cardiologist.

You mentioned ASA but the 2D echo report did not state that it is ASA or IAS, just slight bulging of atrial septum towards right.

You mentioned ASA usually has blood flow between atrium but the 2D echo report already stated No Intra-cardiac shunt.

So is other test like TEE and Bubble study needed to re-examine if he has ASA/IAS and Shunting?

My son has zero symptoms, no shortness of breath, fatigue, fainting, dizziness, pain, etc.

In isolated cases, will such bulge at the atrial septum gets worst and life threatening with
time or with strenous physical exercise/exertion?

Any restrictions in diet and exercise?

Thank you very much for your help
Vince
Avatar universal
Hi, further to my son 2D echo results reported above on my earlier post, my son has gone to a cardiologist today. Without looking at anything, he said the slight bulging of his atrial septum to the right atrium is not an important issue as many people have this issue, i am puzzle....later he took a look at the 2D echo which was done by another dr previously and told us that the bulging is "within normal limits", what does he means? Must we do anything further?

He recomend to have my son put on a 24hr ECG to monitor his heart rythmn but it will be done only next month end.

meanwhile, should we pursue further regarding the slight bulging reported on the 2D echo?

Please advise and thank you
Vincent
Avatar universal
Hi any doctors or cardiologist can kindly advise, thank you
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