Work

The “Peanut Sign” is a useful tool to detect spiral atrial septal defects

Year: 2026

Type: article

Abstract: Spiral atrial septal defects may complicate transcatheter closure and increase the risk of device embolisation. We describe a 5-year-old boy with pulmonary stenosis and a secundum atrial septal defect in whom an initially implanted 9 mm device embolised. At repeat intervention, balloon sizing revealed a bilobed, peanut-shaped configuration with a double waist, suggestive of a spiral atrial septal defect. A 15 mm device was subsequently implanted, achieving stable closure. The "Peanut Sign" may serve as a useful marker for identifying spiral atrial septal defects and guiding appropriate device selection.

Source: Cardiology in the Young

DOI: 10.1017/s1047951126124603

Authors: Jule Marie Dittmer Hein, Anja Tengler, Nikolaus Haas

Institution: Ludwig-Maximilians-Universität München

Language: English

Topic: Cardiovascular and Diving-Related Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,550