Atrial septal aneurysm

Aneurysm of the SSP in adults is most often either congenital or a consequence of myocardial infarction. Controlling the disease will allow you to live a long, fulfilling life.

MP aneurysm is a complex pathology of the heart, characterized by a change in the structure of the septum of the organ with a protrusion of its section to the left or right side.

As a rule, that part of the wall that is the thinnest is affected. The thinning of the site in adults can be acquired or congenital: a genetic deviation is explained by the peculiarity of the intrauterine development of the embryo, an acquired anomaly may be the result of cardiovascular ailments, bad habits.

Causes of MPA aneurysm

During the formation of the baby, the partition separating the right and left parts of his heart has a hole. After the baby is born, it closes, but the tissues do not thicken, they remain vulnerable. After many years, an increase in blood pressure in this area can provoke its stretching, as a result, an aneurysm of the interatrial septum (protrusion) is formed.

In addition, MMP aneurysm in adults may be the result of such factors:

• hypertension;
• myocardial infarction;
• atherosclerotic deposits;
• bad habits.

Atrial septal aneurysm is not a new disease. But even today there are discussions about the nature of violations and their nature. So, opinions about the congenital cause of pathology are ambiguous. There are suggestions that the presence of the disease in older relatives plays an important role in the development of the anomaly. In addition, scientists suggest that a violation of the formation of organ tissues during the prenatal period of fetal development, and maternal illness during pregnancy can lead to an illness.

Types of pathology

An aneurysm of the MPP of an acquired nature in adults in the majority of cases is a consequence of myocardial infarction.

Based on this, three types of pathology are distinguished:

1. Chronic. May occur one and a half months after myocardial infarction. The symptoms are similar to heart failure.
2. Acute. Formed half a month after a heart attack. With such a deviation, the temperature rises, the heart rhythm fails, heart failure, leukocytosis is stated.
3. Subacute. The curvature occurs a month or a half after a heart attack, during scarring of the tissue. With this type of aneurysm, shortness of breath, heart palpitations are possible.

A septal aneurysm can be seen in three forms:

1. C-shaped with protrusion to the left.
2. C-like with protrusion to the right.
3. S-shaped with protrusion in both directions.

But modern methods of treatment can extend life much longer.

Diagnosis and therapeutic measures

Atrial septal aneurysm is rarely diagnosed at the initial stage. This is due, first of all, to the absence of symptoms that would make you see a doctor.

But the doctor must register and monitor the condition of the septum through periodic examinations on the ECG and ultrasound.

When diagnosing an aneurysm, the doctor may note:

• increased tone when listening to the heart;
• increased systolic murmur during exercise;
• pallor of the skin;
• characteristic projection on ultrasound.

A complication of an MPP aneurysm is its rupture.

Most often it occurs in old age due to great physical, psychological stress, trauma. The tissue structure is damaged, a hole appears through which, during systolic contraction of the organ, blood from the left half of the heart enters the right.

This violation of hemodynamics leads to an increase in the load on the right-sided atrium and ventricle. As a result, compensatory hypertrophy of these departments is formed, the load on the pulmonary arteries increases, which provokes pulmonary hypertension.

In case of loss of integrity of the partition, the following manifestations can be observed:

• chest pain;
• general discomfort;
• fast fatiguability;
• interruptions in heartbeat;
• intolerance to prolonged physical exertion.

Strict control of pathology in the absence of complications is a guarantee that the patient will never feel the presence of an ailment. If the aneurysm of the septum increases in size, there is a danger of its rupture. In this case, the cardiologist appoints an examination in a hospital to assess further actions.

Most often, medical treatment is recommended. Surgical intervention is not always prescribed even with a rupture of the formation.

As a rule, surgery is performed when there is a possibility of irreversible pulmonary hypertension as a result of a large outflow of blood. In this case, surgical intervention consists in suturing the gap or plastic wall.

With regards to the prevention of directly aneurysm of the interatrial septum, there are no such programs today. But the same measures that are used to prevent the development of myocardial infarction, atherosclerosis, and coronary heart disease can be used.

By itself, an atrial septal aneurysm is not deadly. In some cases, a person can live his whole life without knowing about his pathology. The risk, first of all, is the complications that can form. Therefore, it is imperative to monitor your health and regularly undergo examinations.