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Europace Advance Access published online on May 15, 2007
Europace, doi:10.1093/europace/eum038
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

IMAGES IN ELECTROPHYSIOLOGY

Atrial septal aneurysm mimicking ECG signs of enlarged right atrium

Eberhard P. Scholz*, Edgar Zitron, Hugo A. Katus, Christoph A. Karle and Derliz Mereles

Third Department of Internal Medicine (Cardiology), University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany

In a routine ECG from a young asymptomatic woman, changes in P-wave morphology and the frontal plane atrial vector were noted. Two-dimensional echocardiography revealed a large atrial septal aneurysm as probable underlying cause. This case report demonstrates that non-specific right atrial ECG signs may be indicative of lone atrial septal aneurysm.

Key Words: Atrial septal aneurysm, P-wave morphology, Echocardiography, Electrocardiography

* Corresponding author. Tel: +49 6221 56 38881; fax: +49 6221 56 8572. E-mail address: eberhard.scholz{at}med.uni-heidelberg.de


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