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Transthoracic echocardiography revealed a complex type 3 perforate \u2018pepper pot\u2019 atrial septal aneurysm with associated thrombus. The patient was commenced on warfarin and appropriate rate limiting medication. After discussion of all interventional modalities, the patient opted for conservative management.<\/jats:p>","DOI":"10.1136\/bcr.12.2011.5402","type":"journal-article","created":{"date-parts":[[2012,4,30]],"date-time":"2012-04-30T12:08:23Z","timestamp":1335787703000},"page":"bcr1220115402","source":"Crossref","is-referenced-by-count":0,"title":["Aneurysmal \u2018pepper-pot\u2019 atrial septal defect in an older gentleman with multiple cerebrovascular attacks"],"prefix":"10.1136","author":[{"given":"Ewan J","family":"Mckay","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Ashrafi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Mckay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aham","family":"Amadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,4,30]]},"reference":[{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.22.2864"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.84.3.327"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.3","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1187"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2004.06.033"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.5","first-page":"532","article-title":"Device closure of fenestrated atrial septal aneurysm: difficulties and complications with implantation of two devices.","volume":"16","author":"Tchana","year":"2004","journal-title":"J Invasive Cardiol"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.6","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2001.2293"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.7","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1016\/S0735-1097(10)80354-7","article-title":"Improved morphologic characterization of atrial septal aneurysm by transesophageal echocardiography: relation to cerebrovascular events.","volume":"16","author":"Schneider","year":"1990","journal-title":"J Am Coll Cardiol"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.8","first-page":"257","article-title":"[Study of the interatrial septum using transthoracic echocardiography].","volume":"42","author":"Mattioli","year":"1997","journal-title":"Cardiologia"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.9","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1590\/S0004-282X2007000600022","article-title":"Cerebellar abscess by Gemella morbillorum in a patient with inter-atrial communication.","volume":"65","author":"Lopes","year":"2007","journal-title":"Arq Neuropsiquiatr"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.10","first-page":"62","article-title":"Aneurysms of the septum primum in adults.","volume":"102","author":"Silver","year":"1978","journal-title":"Arch Pathol Lab Med"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2005.00043.x"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2007.00279.x"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.13","doi-asserted-by":"publisher","DOI":"10.2174\/157016107782023370"},{"key":"2025040405302127000_2012.apr28_1.bcr1220115402.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01711-4"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.12.2011.5402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T17:37:51Z","timestamp":1743788271000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.12.2011.5402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,30]]},"references-count":14,"alternative-id":["10.1136\/bcr.12.2011.5402"],"URL":"https:\/\/doi.org\/10.1136\/bcr.12.2011.5402","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,4,30]]}}}