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 Giant right atrial myxoma: A rare cause of cardiovascular collapse

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984146
Author(s):  
Andres Beiras-Fernandez ◽  
Angela Kornberger ◽  
Hazem El-Beyrouti ◽  
Christian-Friedrich Vahl
Keyword(s):  
Heart Failure ◽  
Right Ventricle ◽  
Right Atrium ◽  
Heart Valves ◽  
Surgical Intervention ◽  
Atrial Myxoma ◽  
Right Atrial ◽  
Cardiovascular Collapse ◽  
Right Atrial Myxoma ◽  
The Right

We report the case of a patient with a giant right atrial myxoma that remained clinically silent until it almost completely obliterated the right atrium, prolapsed into the right ventricle and obstructed the tricuspid valve inflow. This case illustrates the importance of rapid surgical intervention in the setting of acute heart failure caused by tumor masses obliterating heart valves or cardiac chambers.

Tricuspid valve relocation with endomyocardial fibrosis removal for Löeffler’s endocarditis

2019 ◽  
Vol 56 (3) ◽  
pp. 622-624
Author(s):  
Tohru Asai ◽  
Fumihiro Miyashita ◽  
Hiromitsu Nota ◽  
Piers N Vigers
Keyword(s):  
Heart Failure ◽  
Right Ventricle ◽  
Right Atrium ◽  
Hypereosinophilic Syndrome ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Endomyocardial Fibrosis ◽  
Right Heart ◽  
Atrial Enlargement ◽  
The Right

Abstract Löffler endocarditis with hypereosinophilic syndrome is rare but can cause critical ventricular obliteration by endomyocardial fibrosis. A 52-year-old woman experienced severe right heart failure with extreme shrinkage of her right ventricle, severe tricuspid regurgitation and marked right atrial enlargement. Preoperative tests showed identical pressures in the right atrium and pulmonary artery. Endocardial stripping was done, and to enlarge the right ventricle, we relocated the anterior and posterior tricuspid leaflets cephalad, up the right atrium wall, to ‘ventricularize’ a portion of the right atrium, with autologous pericardial augmentation of the tricuspid leaflets. An annuloplasty ring was added to reinforce the relocated tricuspid attachment. Right heart pressures normalized postoperatively. The patient recovered uneventfully. She has received corticosteroid therapy continuously and has shown no recurrence of heart failure in the 5 years since surgery.

Sinus of Valsalva Aneurysm in a Patient With Mosaic Trisomy 13: Case Report and Brief Review of the Literature

2016 ◽  
Vol 11 (4) ◽  
pp. NP1-NP6 ◽  
Author(s):  
Hani Ghawi ◽  
Kevin Engelhardt ◽  
Keith Dixon ◽  
Poonum Thankaval ◽  
Claudio Ramaciotti ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Color Doppler ◽  
Physical Exertion ◽  
Trisomy 13 ◽  
Sinus Of Valsalva ◽  
Aortic Sinus ◽  
Aneurysmal Dilation ◽  
Mosaic Form ◽  
The Right

This report describes a unique case involving an obese 16-year-old boy with a mosaic form of trisomy 13 and no previous cardiac history who presented with a new murmur, hypertension, pleural effusions, and congestive heart failure in the context of sore throat and fever. Evaluation revealed a diagnosis of ruptured noncoronary sinus of Valsalva (SOV) aneurysm. The diagnosis and surgical management of a ruptured noncoronary SOV aneurysm in a pediatric patient are briefly outlined. An SOV aneurysm is an anatomic dilation of one of the sinuses of the aortic root. Aneurysmal dilation occurs more commonly in the right aortic sinus (70%-80%), compared to the noncoronary sinus (23%-25%), and more rarely the left coronary sinus (5%). Rupture of these aneurysms has been reported to be both spontaneous and secondary to physical exertion, hypertension, or trauma. Signs of rupture include a continuous murmur, patients may present with chest pain or with symptoms of acute congestive heart failure. Diagnosis, in this case, was made by transthoracic echocardiography with careful interpretation of color Doppler images.

Plasma Levels of Adrenomedullin in Patients with Acute Myocardial Infarction

1998 ◽  
Vol 94 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Yuji Yoshitomi ◽  
Toshio Nishikimi ◽  
Shunichi Kojima ◽  
Morio Kuramochi ◽  
Shuichi Takishita ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Congestive Heart Failure ◽  
Atrial Natriuretic Peptide ◽  
Brain Natriuretic Peptide ◽  
Natriuretic Peptide ◽  
Right Atrium ◽  
Plasma Levels ◽  
The Right

1. Adrenomedullin, a newly identified vasorelaxant peptide, participates in the regulation of the cardiovascular system. To investigate the pathophysiological significance of adrenomedullin in patients with acute myocardial infarction, we measured plasma levels of adrenomedullin. 2. Cardiac catheterization was performed on admission, after 1 day, and after 4 weeks in 36 patients with acute myocardial infarction. We measured plasma levels of adrenomedullin, atrial natriuretic peptide and brain natriuretic peptide in the right atrium, pulmonary artery and aorta. 3. Plasma levels of adrenomedullin in the right atrium (mean ± SEM) were significantly increased on admission (4.2 ± 2.6 h) in patients with acute myocardial infarction (10.6 ± 1.0 pmol/l) compared with controls (5.2 ± 0.3 pmol/l, P < 0.01). In addition, plasma levels of adrenomedullin were further elevated in patients with congestive heart failure (12.3 ± 1.4 pmol/l) compared with patients without congestive heart failure (7.8 ± 0.6 pmol/l, P < 0.01). In patients with congestive heart failure, plasma adrenomedullin on admission significantly correlated with atrial natriuretic peptide and brain natriuretic peptide. 4. These results suggest that plasma adrenomedullin increases in the early phase of acute myocardial infarction and that volume expansion may be one of the additional stimuli for the release of adrenomedullin in patients with acute myocardial infarction complicated by congestive heart failure.

scholarly journals THE RIGHT ATRIAL PULSE IN CONGESTIVE HEART FAILURE

Heart ◽  
1954 ◽  
Vol 16 (4) ◽  
pp. 447-450 ◽  
Author(s):  
P. Korner ◽  
J. Shillingford
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Right Atrial ◽  
The Right

Bovine atrial natriuretic peptide in heart failure

1990 ◽  
Vol 124 (3) ◽  
pp. 463-467 ◽  
Author(s):  
N. Takemura ◽  
H. Koyama ◽  
T. Sako ◽  
K. Ando ◽  
S. Motoyoshi ◽  
...  
Keyword(s):  
Heart Failure ◽  
Plasma Concentration ◽  
Atrial Natriuretic Peptide ◽  
Natriuretic Peptide ◽  
Right Atrium ◽  
Left Ventricular ◽  
Atrial Pressure ◽  
Right Atrial ◽  
The Right ◽  
Atrial Natriuretic

ABSTRACT The present study describes the concentration and molecular form of atrial natriuretic peptide (ANP) in Holstein dairy cattle with mild (bacterial endocarditis; BEC) or severe (dilated cardiomyopathy; DCM) heart failure. Significant increases in plasma concentration of ANP were observed in cattle with DCM (73·3 ± 16·02 pmol/l, n=4, P<0·01) and BEC (20·6± 3·45 pmol/l, n=7, P<0·05), when compared with those in control cattle (14·5± 1·84 pmol/l, n= 12). The concentration of ANP in cattle with DCM was significantly (P<0·01) higher compared with that in cattle with BEC. Plasma concentration of ANP correlated significantly with right atrial pressure (r =0·95, P<0·01) and left ventricular end-diastolic pressure (r= 0·84, P<0·01). Gel-permeation chromatography of ANP in plasma and the right atrium from control and cattle with BEC revealed a single peak corresponding to the elution position of authentic human ANP(99–126) in plasma, and two peaks corresponding to those of authentic human ANP(99–126) and pro-ANP in the atrial extract. In cattle with DCM, however, peaks corresponding to the elution positions of authentic human β-ANP and/or pro-ANP were detected in addition to the peak corresponding to ANP(99–126). The content of ANP in the right atrium of cattle with DCM was significantly (P<0·05) increased compared with that in control cattle and those with BEC. The present study therefore suggests that the synthesis and secretion of ANP might be stimulated by atrial distention induced by increased atrial pressure. This suggestion is supported by the fact that the middle molecular weight form of ANP, possibly corresponding to human β-ANP, was detected in both the plasma and atria of the cattle with severe heart failure. Journal of Endocrinology (1990) 124, 463–467

scholarly journals Massively dilated right atrium masquerading as a mediastinal tumor

2011 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Thomas Schroeter ◽  
Nicolas Doll ◽  
Sreekumar Subramanian ◽  
Friedrich W. Mohr ◽  
Michael A. Borger
Keyword(s):  
Heart Failure ◽  
Tricuspid Valve ◽  
Right Atrium ◽  
Mediastinal Tumor ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Right Heart ◽  
Tricuspid Valve Insufficiency ◽  
Valve Insufficiency ◽  
The Right

Severe tricuspid valve insufficiency causes right atrial dilatation, venous congestion, and reduced atrial contractility, and may eventually lead to right heart failure. We report a case of a patient with severe tricuspid valve insufficiency, right heart failure, and a massively dilated right atrium. The enormously dilated atrium compressed the right lung, resulting in a radiographic appearance of a mediastinal tumor. Tricuspid valve repair and reduction of the right atrium was performed. Follow up examination revealed improvement of liver function, reduced peripheral edema and improved New York Heart Association (NYHA) class. The reduction of the atrial size and repair of the tricuspid valve resulted in a restoration of the conduit and reservoir function of the right atrium. Given the chronicity of the disease process and the long-standing atrial fibrillation, there is no impact of this operation on right atrial contraction. In combination with the reconstruction of the tricuspid valve, the reduction atrioplasty will reduce the risk of thrombembolic events and preserve the right ventricular function.

scholarly journals Acute heart failure from a rapidly progressing large tumor in the right atrium

2021 ◽  
Keyword(s):  
Heart Failure ◽  
Medical History ◽  
Right Atrium ◽  
Right Atrial ◽  
Emergency Physicians ◽  
Large Tumor ◽  
Intracardiac Mass ◽  
Chief Complaints ◽  
Right Atrial Mass ◽  
The Right

The diagnosis and treatment of intracardiac mass are challenging for emergency physicians. Dyspnea is one of the most common chief complaints in ER among patients with rapidly progressed heart failure without significant medical history. Establishing such an unusual diagnosis based on dyspnea patients requires more evidence. We present a case of a patient who was diagnosed with a rapidly progressing right atrial mass.

Activation of ANP synthesis during congestive heart failure in rats treated with monocrotaline

1995 ◽  
Vol 268 (1) ◽  
pp. H391-H398 ◽  
Author(s):  
L. Comini ◽  
G. Agnoletti ◽  
A. Panzali ◽  
G. Mantero ◽  
E. Pasini ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Plasma Concentration ◽  
Ventricular Hypertrophy ◽  
Right Atrial ◽  
Peritoneal Effusion ◽  
Group 3 ◽  
Group 2 ◽  
The Right ◽  
Group 1

We studied plasma concentration, content, and mRNA for atrial natriuretic peptide (ANP-mRNA) in heart chambers of monocrotaline-treated rats. Three distinct groups emerged: group 1, with moderate congestive heart failure (CHF; pleural effusion < 1 ml; no peritoneal effusion); group 2, with severe CHF (pleural and peritoneal effusion > 1 ml); and group 3, with right hypertrophy and no CHF. Group 1 and 2 rats had right atrial and ventricular hypertrophy, raised plasma ANP (from 16.31 +/- 11.32 to 98.50 +/- 22.50 and 124.09 +/- 57.29 pg/ml, respectively; P < 0.001), and depletion of right atrial ANP (from 143.23 +/- 29.79 to 21.70 +/- 17.70 and 18.12 +/- 14.64 nmol/g, respectively; P < 0.001). Ventricular ANP concentration was unchanged. ANP-mRNA rose in the right atrium [10.6 (P < 0.02) and 7.9 (P < 0.01) times] and right ventricle (53.0 and 46.6 times; P < 0.01). In left unhypertrophied chambers it also increased, although to a smaller extent. Group 3 rats had isolated right ventricular hypertrophy, normal ANP levels in plasma and tissues, and no activation of synthesis. These data suggest that 1) plasma concentration and ANP synthesis are increased only in animals with CHF, 2) activation of ANP synthesis is maximal in early stages of CHF and is not related to the degree of hypertrophy, and 3) ANP-mRNA is also expressed in unhypertrophied heart chambers of rats with CHF but is not expressed in hypertrophied chambers of animals without CHF.

Ectopic atrial tachycardia due to aneurysm of the right atrial appendage

2001 ◽  
Vol 11 (2) ◽  
pp. 229-232 ◽  
Author(s):  
Sawa Mizui ◽  
Kazuhiro Mori ◽  
Yasuhiro Kuroda
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Atrial Tachycardia ◽  
Normal Sinus Rhythm ◽  
Atrial Appendage ◽  
Right Atrial ◽  
Normal Sinus ◽  
Ectopic Atrial Tachycardia ◽  
Right Atrial Appendage ◽  
The Right

We report an infant with ectopic atrial tachycardia, due to an aneurysm of the right atrial appendage, who developed congestive heart failure. Although catheter ablation was transiently successful, tachycardia recurred 2 days later. The aneurysm of the right atrial appendage was resected successfully by surgery, and thereafter she did well, reverting to normal sinus rhythm.

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