scholarly journals Cardiac Calcified Amorphous Tumor in the Neonatal Period

2022 ◽  
Vol 2022 ◽  
pp. 1-3
Author(s):  
Mohammad Nasir Hematian ◽  
Kamran Hessami ◽  
Maasoumeh Saleh ◽  
Abolfazl Shirdel Abdolmaleki ◽  
Shirin Torabi ◽  
...  
Keyword(s):  
Neonatal Period ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Cardiac Mass ◽  
Histopathological Study ◽  
Body Type ◽  
Cardiac Murmur ◽  
Extensive Calcification ◽  
The Right ◽  
Calcified Amorphous Tumor

Calcified amorphous tumor (CAT) of the heart is a rare nonneoplastic cardiac mass that may exhibit symptoms resembling malignancy. In this report, we presented a 4-month-old male baby with repeated attacks of cyanosis and a cardiac murmur. Echocardiography revealed a tumoral noncircumscribed mass in the right atrium adhering to the interatrial septum which extends to the inferior vena cava. Cardiac exploration was carried out to excise the tumor. A histopathological study demonstrated the presence of thrombus-like tissue with extensive calcification and foreign body type giant cell reactions. After operation, the patient had an uneventful hospitalization. Although CAT is mainly diagnosed in adult patients, it should be considered in the causes of cardiac mass in the neonatal period.

scholarly journals P1464 A case of cortriatriatum dexter accidentally discovered in an adult

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
H S A Abdelgawad ◽  
M Abdelnabi ◽  
A Almaghrabi ◽  
M Shehata ◽  
M A Abdelhay
Keyword(s):  
Transesophageal Echocardiography ◽  
Right Atrium ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Cor Triatriatum ◽  
Free Wall ◽  
3D Transesophageal Echocardiography ◽  
Cor Triatriatum Dexter ◽  
The Right

Abstract Introduction Cor triatriatum dexter, or partitioning of the right atrium (RA) to form a triatrial heart, is an extremely rare congenital anomaly that is caused by the persistence of the right valve of the sinus venosus. The incidence of cor triatriatum is approximately 0.1% of congenital heart malformation. Typically, the right atrial partition is due to exaggerated fetal eustachian and the besian valves, which together form an incomplete septum across the lower part of the atrium. This septum may range from a reticulum to a substantial sheet of tissue Case report: 45-years old female patient with history of surgical closure of an atrial septal defect at the age of 14 years .She presented to our medical facility complaining of exertional dyspnea and bilateral lower limb edema for 4 years. On clinical examination, she had bilateral congested neck veins, a pansystolic murmur over the tricuspid area and a tender hepatomegaly. 2D Transthoracic Echocardiography revealed an unusual membranous structure that stretched across the right atrium with attachments superiorly at the free wall and inferiorly at the inter-atrial septum with a severe tricuspid regurgitation (Panel A)Intravenous agitated saline injection revealed an incomplete membrane. (Panel B).2D Transesophageal echocardiography showed an unusually prominent eustachian valve arose normally from the ostium of the inferior vena cava (IVC) and was pointing towards the interatrial septum just below the level of the fossa ovalis and no residual ASD could be seen. (Panel C) . 3D transesophageal echocardiography with zoomed mode from right atrial perspective confirmed the presence of an incomplete membrane extending transversely from the ostium of IVC and interatrial septum immediately below the fossa ovalis but not reaching RA free wall (arrow), no obstruction to the flow of the IVC, superior vena cava (SVC) , coronary sinus (CS) and the tricuspid valve (TV) was seen .(Panels D,E,F). Conclusion Since many patients are asymptomatic, the diagnosis of cor triatriatum dexter often is determined at postmortem examination. Antemortem diagnosis can be determined by echocardiography. 3D transesophageal echocardiography was able to detect cor triatriatum dexter that can be easily missed by 2D echocardiography. Abstract P1464 Figure.

scholarly journals Giant Interatrial Septal Lipoma Filling the Right Atrium Causing Slight Symptoms: A Case Report

2021 ◽  
Vol 24 (6) ◽  
pp. E947-E949
Author(s):  
Mingxiang Chen ◽  
Fuping Li ◽  
Haitao Zhang ◽  
Zhuyun Qin
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Right Atrium ◽  
Superior Vena ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Illustrative Case ◽  
Cardiac Lipoma ◽  
The Right ◽  
Almost All

Cardiac lipoma is extremely rare. Here, we present a unique illustrative case of an interatrial septal lipoma protruding into the right atrium, causing symptoms in a 54-year-old male. Echocardiogram and computed tomography showed a well-shaped, giant, and fixed mass located in the interatrial septum and right atrium. The only manifestation was palpitation, though the mass filled almost all of the atrium and compressed the superior vena cava. The patient received resection of the large-sized lipoma, which was 87mm in diameter and weighed 300-400g. Pathological exam demonstrated mature lipocytes and substantiated the diagnosis of lipoma. The patient did well postoperatively, and symptoms were resolved.

We Know What the Cardiac Surgeon Did during Last Hybrid Arrhythmia Procedure

2017 ◽  
Vol 12 (1) ◽  
pp. 67-70
Author(s):  
Narendra Kumar ◽  
Laurent Pison ◽  
Sandro Gelsomino ◽  
Ismail Aksoy ◽  
Mark La Meir ◽  
...  
Keyword(s):  
Atrial Tachycardia ◽  
Superior Vena ◽  
Sinus Node ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Superior Part ◽  
Ectopic Beats ◽  
Cardiac Surgeon ◽  
Node Isolation ◽  
The Right

Superior vena cava (SVC) is an important source of origin of atrial fibrillation (AF) triggers other than a pulmonary vein. Because of the proximity of SVC-aorta ganglionic plexi to the SVC and the extension of myocardium in the SVC from the right atrium, SVC frequently becomes an important source of ectopic beats initiating AF. The potential complications of SVC isolation may include sinus node injury. Sinus node isolation was observed in a patient who had undergone previous surgical isolation of SVC for AF, while attempting to ablate endocardially, near the superior part of interatrial septum for an atrial tachycardia.

Primary Cardiac Lipoblastoma

2001 ◽  
Vol 4 (3) ◽  
pp. 276-280 ◽  
Author(s):  
Megan K. Dishop ◽  
William N. O'Connor ◽  
Simon Abraham ◽  
Carol M. Cottrill
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Good Health ◽  
Interatrial Septum ◽  
Tissue Mass ◽  
Primary Cardiac Tumor ◽  
Vena Cava Syndrome ◽  
Anatomic Locations ◽  
The Right

Lipoblastoma is a benign adipose tumor in children that has been described in various anatomic locations, most commonly the extremities. We describe the case of a 17-month-old boy diagnosed with cardiac lipoblastoma, a previously unreported primary cardiac tumor in children. Our patient presented with symptoms of coughing, wheezing, and hoarseness and was found to have a large mediastinal mass, which narrowed the left mainstem bronchus and compressed the right atrium and superior vena cava, causing superior vena cava syndrome. Surgical exploration revealed an intrapericardial soft tissue mass arising from the area of the posterior interatrial septum. Grossly, the resected mass was lobulated, pale yellow, and fatty with focal areas of gray myxoid tissue. Microscopically, the tumor consisted of both immature and mature adipocytes, with focal vascular myxoid areas containing lipoblasts, diagnostic of lipoblastoma. Two months after surgery, the patient was in good health without evidence of recurrence.

scholarly journals Extreme lipomatous hypertrophy of the interatrial septum presenting as cardiac mass extending into the pericardium, confirmed by cardiac magnetic resonance

2021 ◽  
Author(s):  
Maciej Pruski ◽  
Wojciech Wróbel ◽  
Karolina Wrona ◽  
Dominika Spyra-Skrabaczewska ◽  
Klaudia Męcka ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Right Atrium ◽  
Posterior Wall ◽  
Interatrial Septum ◽  
Cardiac Mass ◽  
Resonance Imaging ◽  
Lipomatous Hypertrophy ◽  
The Right

Lipomatous hypertrophy of the interatrial septum is a relatively common disorder that occasionally presents as cardiac mass. Here, we present a case of extreme lipomatous hypertrophy up to 4 cm in diameter and extending into the epicardium, posterior wall of the right atrium and the atrioventricular sulcus. Diagnosis was confirmed by transesophageal echocardiography and cardiac magnetic resonance imaging.

Minimally Invasive Approach to Correct Anomalous Inferior Vena Cava Connection to the Left Atrium

2017 ◽  
Vol 11 (4) ◽  
pp. NP50-NP52 ◽  
Author(s):  
Carlo Pace Napoleone ◽  
Davide Marini ◽  
Andrea Baronetto ◽  
Luca Deorsola ◽  
Gabriella Agnoletti ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Left Atrium ◽  
Inferior Vena ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Invasive Approach ◽  
Congenital Condition ◽  
Anomalous Inferior Vena Cava ◽  
The Right ◽  
Mini Thoracotomy

Anomalous drainage of the inferior vena cava into the left atrium is a rare congenital condition. A 20-year-old girl was referred for recurrent transient ischemic attacks. Transthoracic echocardiography revealed a large ostium secundum atrial septal defect, and computed tomography showed anomalous drainage of the inferior vena cava into the left atrium. Through a right mini-thoracotomy, the opening of the inferior vena cava into the atrium was identified under the inferior edge of the interatrial septum, draining into the left atrium, and redirected to the right atrium, using a pericardial patch to reconstruct the atrial septum. Postoperative course was uneventful. Right mini-thoracotomy approach was effective in correcting the anomalous drainage of the inferior vena cava into the left atrium.

scholarly journals Newly-found channels in the interatrial septum of the heart by dissection, histologic evaluation, and three-dimensional microcomputed tomography

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246585
Author(s):  
Mi-Sun Hur ◽  
Seunggyu Lee ◽  
Chang-Seok Oh ◽  
Yeon Hyeon Choe
Keyword(s):  
Superior Vena ◽  
Three Dimensional ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Interatrial Communication ◽  
Left Border ◽  
Histologic Evaluation ◽  
Pass Through ◽  
Ischemic Attack ◽  
The Right

A minute thrombus can pass through a small type of interatrial communication, which can result in a stroke or transient ischemic attack and several associated symptoms. This study sought to investigate a new type of interatrial communication. Thirty-one hearts from embalmed adult cadavers were investigated. Each interatrial channels (IACs) was classified as either an open or obstructed channel according to the connection of each hole on the right and left surfaces of the interatrial septum. Open channels were found in two specimens (6.5%). Both open and obstructed IACs followed tortuous courses through the interatrial septum. On the right surface of the interatrial septum, the hole was usually found adjacent to the left border of the interatrial septum between the opening of the superior vena cava into the right atrium and the superior margin of the fossa ovalis. Conversely, holes on the left surface of the interatrial septum were usually found in the upper and middle parts adjacent to the left border of the interatrial septum. This novel finding is expected to support our understanding of the onset of possible symptoms such as stroke in the absence of classical atrial septal defects.

scholarly journals Compression of the Superior Vena Cava by an Interatrial Septal Lipoma: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
R. Grech ◽  
A. Mizzi ◽  
S. Grech
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Fat Cells ◽  
Cardiac Tumours ◽  
Autopsy Series ◽  
Lipomatous Hypertrophy ◽  
Benign Tumours ◽  
The Right

Primary cardiac tumours are rare; their prevalence ranges from 0.0017% to 0.28% in various autopsy series. Cardiac lipomas are well-encapsulated benign tumours typically composed of mature fat cells, and their reported size ranges from 1 to 15 cm. They are usually seen in the left ventricle and the right atrium. Lipomas are true neoplasms, as opposed to lipomatous hypertrophy of the interatrial septum, which is a nonencapsulated hyperplastic accumulation of mature and foetal adipose tissue. Cardiac lipomas occur in patients of all ages, and the frequency of occurrence has been found to be equal in both sexes. Patients are usually asymptomatic, although the manifestation of symptoms depends upon both size and location of the tumour. We present the case of a patient with an interatrial septal lipoma, causing obstruction of the superior vena cava.

Closure of Secundum Atrial Septal Defect with Autologous Right Atrial Patch: Case Report

2005 ◽  
Vol 8 (2) ◽  
pp. 96 ◽  
Author(s):  
Osman Tansel Dar�in ◽  
Alper Sami Kunt ◽  
Mehmet Halit Andac
Keyword(s):  
Atrial Septal Defect ◽  
Right Atrium ◽  
Septal Defect ◽  
Complete Recovery ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Atrial Wall ◽  
Residual Shunt ◽  
Asd Closure ◽  
The Right

Background: Although various synthetic materials and pericardium have been used for atrial septal defect (ASD) closure, investigators are continuing to search for an ideal material for this procedure. We report and evaluate a case in which autologous right atrial wall tissue was used for ASD closure. Case: In this case, we closed a secundum ASD of a 22-year-old woman who also had right atrial enlargement due to the defect. After establishing standard bicaval cannulation and total cardiopulmonary bypass, we opened the right atrium with an oblique incision in a superior position to a standard incision. After examining the secundum ASD, we created a flap on the inferior rim of the atrial wall. A stay suture was stitched between the tip of the flap and the superior rim of the defect, and suturing was continued in a clockwise direction thereafter. Considering the size and shape of the defect, we incised the inferior attachment of the flap, and suturing was completed. Remnants of the flap on the inferior rim were resected, and the right atrium was closed in a similar fashion. Results: During an echocardiographic examination, neither a residual shunt nor perigraft thrombosis was seen on the interatrial septum. The patient was discharged with complete recovery. Conclusion: Autologous right atrial patch is an ideal material for ASD closure, especially in patients having a large right atrium. A complete coaptation was achieved because of the muscular nature of the right atrial tissue and its thickness, which is a closer match to the atrial septum than other materials.

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