Is there an Unnoticed Etiology of Right Atrial Aneurysm?

2021 ◽  
pp. 215013512110603
Author(s):  
Emrah Şişli ◽  
Tarık Taştekin ◽  
Sena Erdem ◽  
Çiğdem Öztunalı
Keyword(s):  
Cardiopulmonary Bypass ◽  
Screening Tests ◽  
Right Atrial ◽  
Eosinophilic Infiltration ◽  
Muscular Layer ◽  
Histopathological Evaluation ◽  
Aneurysm Resection ◽  
The Right ◽  
Right Atrial Aneurysm

A 12-year-old male was referred for surgery with the diagnosis of right atrial aneurysm. Resection of the right atrial aneurysm was performed under total cardiopulmonary bypass. Besides a very thin muscular layer, histopathological evaluation of the aneurysm specimen revealed extensive eosinophilic infiltration at the epicardial side which, from place to place showed penetrations into the muscular layer. The screening tests performed for determination of the etiology of eosinophilia were indeterminate supporting the diagnosis of idiopathic right atrial aneurysm. In conclusion, although the reason for the eosinophilia could not be detected, it may have a part in the development of right atrial aneurysm that merits further investigation.

scholarly journals CLINICAL AND MORPHOLOGICAL JUSTIFICATION OF THE SURGICAL TREATMENT OF CHRONIC ABDOMINAL SYNDROME IN CHILDREN

2019 ◽  
Vol 20 (5) ◽  
pp. 270-276
Author(s):  
Igor N. Khvorostov ◽  
A. G. Sinitsyn ◽  
G. L. Snigyr
Keyword(s):  
Surgical Treatment ◽  
Acute Inflammation ◽  
Prognostic Significance ◽  
Morphological Examination ◽  
Moderate Amount ◽  
Muscular Layer ◽  
Collagen Iii ◽  
The Right ◽  
Immunohistochemical Studies

The chronic recurrent abdominal syndrome (CRAS) in the right lower fossa in children is believed not to be independent nosological unit and is diagnosed as an exception. We carried out comparative studies of the clinical picture, results of morphological and immunohistochemical studies of remote appendicitis in 55 CRAS children and 35 children with acute destructive appendicitis. The low prognostic significance of appendicular scales for the determination of indications to the surgical treatment of CRAS was established. Morphological examination in most cases revealed signs of chronic inflammation with fibrosis of the mucosa and submucosa of the appendix in CRAS children. Immunohistochemical studies revealed the pronounced expression of protein VEGF, MMP-9 and VCAM-1 predominantly in the submucosal and the muscular layer, moderate expression for Collagen-III-alpha-1. The low number of positively stained cells for the VIP protein located both in the mucosa and in the submucosa. The number of MMP-9-positive cells was the largest, there was seen a moderate amount of VEGF, VIP and Collagen-III-alpha-1-positive cells. The disappearance of the abdominal syndrome after appendectomy was noted in 6% of CRAS patients. Recurrence of pain was observed in girls of pubertal age with the irregular menstrual cycle. The established changes in remote appendicitis, other than acute inflammation, make it possible to consider reasonable appendectomy as a way of treating CRAS in children.

Cardiac and Pericardial Echinococcosis: Report of 15 Cases

2007 ◽  
Vol 15 (4) ◽  
pp. 278-279 ◽  
Author(s):  
Vakeli Murat ◽  
Zhongxi Qian ◽  
Shuiyuan Guo ◽  
Jun Qiao
Keyword(s):  
Heart Failure ◽  
Developing Countries ◽  
Cardiopulmonary Bypass ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Serologic Test ◽  
Right Heart ◽  
Late Death ◽  
The Right

Between 1978 and 2002, 15 patients (mean age, 23.0 ± 8.5 years) with cardiac and pericardial echinococcosis were treated surgically. The cysts were located in the right atrium in 3 patients, on the anterior myocardium in 7, and pericardially in 5. The 3 patients with right atrial cysts were operated on using cardiopulmonary bypass. There were 4 recurrences requiring re-operation after a mean of 12 months. All other patients received mebendazole treatment and exhibited no recurrence during follow-up. One late death due to chronic right heart failure occurred after 10 months of follow-up. The serologic test is an effective method of diagnosis in undeveloped and developing countries.

Congenital right atrial diverticulum, atrial septal defect within the oval fossa, and complex pulmonary valvar obstruction in an infant with chromosome 8(p23.1) deletion

2005 ◽  
Vol 15 (3) ◽  
pp. 306-308 ◽  
Author(s):  
Aungkana Gengsakul ◽  
Suvro S. Sett ◽  
Martin C. K. Hosking
Keyword(s):  
Right Ventricular ◽  
Septal Defect ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Chromosome 8 ◽  
Right Atrial ◽  
Ventricular Compliance ◽  
The Right ◽  
Right Atrial Aneurysm

We describe an unusual right atrial aneurysm, occurring with progressive obstruction of the right ventricular outflow tract and increasing cyanosis, in a nine-month-old boy with chromosome 8(p23.1) deletion. Surgical resection of the diverticulum, and relief of the right ventricular obstruction, was successful, although impairment of right ventricular compliance persists after 19 months follow-up.

scholarly journals PATIENT UNDERGOING COMBINED RIGHT RADICAL NEPHRECTOMY AND RIGHT ATRIAL TUMOUR EXCISION: ANAESTHETIC MANAGEMENT

2011 ◽  
Vol 01 (04) ◽  
pp. 46-49
Author(s):  
Manjunath R. Kamath ◽  
Krishna Prasad P. ◽  
Mundayat Gopalakrishnan ◽  
Rajeev T. P.
Keyword(s):  
Cardiopulmonary Bypass ◽  
Radical Nephrectomy ◽  
Renal Mass ◽  
Central Venous Access ◽  
Vena Cava ◽  
Venous Access ◽  
Anaesthetic Management ◽  
Right Atrial ◽  
Thoracic Epidural ◽  
The Right

AbstractWe describe anaesthetic management of a rare case of right atrial tumour with right renal mass posted for combined excision of right atrial tumor and right radical nephrectomy. Anaesthesia plan was combined thoracic epidural anaesthesia & general anaesthesia. Right renal mass was removed through the anterior subcostal incision, followed by the right atrial mass excision through the midline sternotomy incision under cardiopulmonary bypass. Issues related to the possibility of inferior vena cava (IVC) thrombus & its extension into the right atrium and the subsequent removal, pain management, ideal position of the central venous access, cardiopulmonary bypass with a single kidney are discussed.

scholarly journals Alteration of gap junctions and connexins in the right atrial appendage during cardiopulmonary bypass

2002 ◽  
Vol 124 (6) ◽  
pp. 1106-1112 ◽  
Author(s):  
Hung-I Yeh ◽  
Shou-Hsien Hou ◽  
Hsiang-Rui Hu ◽  
Yi-Nan Lee ◽  
Jiun-Yi Li ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Gap Junctions ◽  
Atrial Appendage ◽  
Right Atrial ◽  
Right Atrial Appendage ◽  
The Right

Successful Rescue from Cardiac Arrest in a Patient with Postinfarction Left Ventricular Blow-Out Rupture: "Extra-Pericardial Aortic Cannulation" for Establishment Total Cardiopulmonary Bypass

2014 ◽  
Vol 17 (4) ◽  
pp. 217
Author(s):  
Suguru Ohira ◽  
Hitoshi Yaku ◽  
Shunsuke Nakajima ◽  
Akihiko Takahashi
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Bypass ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Venous Drainage ◽  
Left Ventricular ◽  
Ascending Aorta ◽  
Right Atrial ◽  
Aortic Cannulation ◽  
The Right

We report a quick and simple technique to establish cardiopulmonary bypass (CPB) in a left ventricular (LV) blow-out rupture. A 74-year-old woman with a diagnosis of acute myocardial infarction suddenly collapsed and lost consciousness. A venous-arterial extracorporeal membrane oxygenation (ECMO) device was inserted by femoral cannulation. Emergent median sternotomy was performed. The pericardium was not opened first, and the thymus was divided to expose the ascending aorta just above the pericardial reflection. After placing two purse-string sutures on the distal ascending aorta, a 7-mm aortic cannula (Terumo, Tokyo, Japan) was inserted. The pericardium was then incised. A large volume of blood was expelled from the pericardial space, and CPB was initiated with suction drainage. A two-stage venous drainage cannula was then inserted from the right atrial appendage without hemodynamic collapse. After cardiac arrest, closure of ruptured LV wall and concomitant coronary artery bypass grafting were performed. The patient was weaned from CPB with an intra-aortic balloon pump (IABP) and the previously inserted venous-arterial ECMO. Extra-pericardial aortic cannulation is an effective and reproducible method to prepare for CPB in emergent cases of LV rupture.

Right atrial aneurysm

1995 ◽  
Vol 5 (4) ◽  
pp. 354-356 ◽  
Author(s):  
Yong jin Kim ◽  
Hyunjo Kim ◽  
Jung Yun Choi
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Right Atrium ◽  
The Other ◽  
Right Atrial ◽  
Definite Diagnosis ◽  
Surgical Exploration ◽  
Aneurysmal Dilation ◽  
The Right ◽  
Right Atrial Aneurysm

SummaryAneurysmal dilation of the right atrium is described in a four-year-old boy who presented with cardiomegaly and symptoms of congestive heart failure. Echocardiography revealed the aneurysmal dilation of the right atrium, but a definite diagnosis was obtained only after surgical exploration. This had caused compression of the other cardiac chambers resulting in congestive heart failure. Surgical resection was successful and the patient was discharged on the eleventh postoperative day with good results.

scholarly journals Foetal right atrial aneurysm and aortic coarctation with left ventricular dysfunction

2019 ◽  
Vol 29 (7) ◽  
pp. 1002-1004
Author(s):  
Edem Binka ◽  
Ahmet Baschat ◽  
Angie Child Jelin ◽  
Cecillia Lui ◽  
Narutoshi Hibino ◽  
...  
Keyword(s):  
Aortic Coarctation ◽  
Atrial Tachycardia ◽  
Ventricular Dysfunction ◽  
Paediatric Population ◽  
Left Ventricular ◽  
Right Atrial ◽  
Postnatal Life ◽  
The Right ◽  
Right Atrial Aneurysm ◽  
Foetal Diagnosis

AbstractAneurysms of the right atrium are rare in the paediatric population. We report a case of a foetal diagnosis of right atrial aneurysm with associated atrial tachycardia in foetal and postnatal life. Unique to our case are the findings of isolated pericardial effusion without hydrops fetalis and the development of aortic coarctation in postnatal life.

scholarly journals Prenatal diagnosis of right atrial diverticulum and outcomes: a case report

2020 ◽  
Author(s):  
Peyman Tabnak ◽  
Mohammad Ghaderi
Keyword(s):  
Prenatal Diagnosis ◽  
Right Atrium ◽  
Right Atrial ◽  
Atrial Wall ◽  
Case Presentation ◽  
Low Dose Aspirin ◽  
Congenital Condition ◽  
Life Threatening ◽  
The Right ◽  
Right Atrial Aneurysm

Abstract Background Right atrial diverticulum is a rare congenital condition which causes the right atrium enlargement. The squeals of this condition can vary from cardiac abnormalities to respiratory distress and systemic thromboembolism, hence Identifying these patients can prevent life-threatening outcomes. Prenatal diagnosis has the benefit of better following up and managing patients to prevent later subsequences. Case presentation Echocardiography of the neonate 3 days after birth showed a massive right atrium with a diverticulum measuring 2.09*2.27 cm connected laterally to the right atrium without any clot in it. A fibromuscular strand was seen at the entry of the diverticulum through the right atrium.CT-Angiography 16 days after birth showed a massive right atrium with a diverticulum in the right hemithorax and confirmed the diagnosis.The patient underwent on low dose aspirin therapy to prevent thromboembolism.After 16 months the patient goes on well this condition without cardiac or respiratory symptoms and echocardiography showed the diverticulum size increased to 3.5*2.5 cm without any clot in it.Surgical resection has not proceeded yet because the patient has been asymptomatic until now.ConclusionBecause of the rarity of this condition, management of these patients is highly dependent on the symptoms they show, and also early diagnosis can prevent further medical squeals. Low doses aspirin is suggested to prevent the formation of thrombosis. Surgical resection can be done in patients with serious cardiac or respiratory abnormality, It is important to do not misdiagnosis this condition with a right atrial aneurysm which involves whole layers of the atrial wall. Although outcomes of both conditions are almost the same, using a proper term to establish an accurate diagnosis preferred.

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